Active NPIIndividual providerSole proprietor

Dr. Jesse A Goodman, MD

Psychiatry & Neurology, Psychiatry in Lenox, Massachusetts

NPI Number1922011246
Practice location
38 Church St, Suite 101, Lenox, MA 01240-2525
Fax
888-443-7405
Last updated
February 3, 2022

Jesse Adam Goodman is a Psychiatry & Neurology, Psychiatry based in Lenox, MA. Jesse Adam Goodman practices in Lenox, MA and has the professional credentials of MD. The NPI Number for Jesse Adam Goodman is 1922011246 and holds a License No. 160625 (MA). The current practice location address for Jesse Adam Goodman is 38 Church St, Suite 101, Lenox, MA 01240-2525 and can be reached out via phone at 413-637-2300 and via fax at 888-443-7405.

Provider Profile Details

NPI Number
1922011246
Provider Name
Jesse Adam Goodman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
38 Church St, Suite 101, Lenox, MA 01240-2525
Phone Number
413-637-2300
Fax Number
888-443-7405
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2006
Last Update Date
February 3, 2022
Certification Date
February 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Church St
Suite 101
Lenox, MA 01240-2525
City
Lenox
Zip
01240-2525
Phone Number
413-637-2300
Fax Number
888-443-7405
Lenox, MA 01240Get directions →

Provider Business Mailing Address Details

Address
38 Church St
Suite 101
Lenox, MA 01240-2525
City
Lenox
State
MA
Zip
01240-2525
Phone Number
413-637-2300
Fax Number
413-315-5276

License Information

License Number
160625
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jesse A Goodman, MD?

The NPI number of Dr. Jesse A Goodman, MD is 1922011246. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jesse A Goodman, MD?

Dr. Jesse A Goodman, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 160625.

Where does Dr. Jesse A Goodman, MD practice?

The practice location is 38 Church St, Suite 101, Lenox, MA 01240-2525. The office can be reached at 413-637-2300 (phone) or 888-443-7405 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922011246 directly on the NPPES registry website.

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