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NPI Code Detail

MEDICARE: DR. PATRICIA JOYCE GOODMAN PSY.D.

MEDICARE: DR. PATRICIA JOYCE GOODMAN PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist014775NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568526481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA JOYCE GOODMAN PSY.D.
Provider Business Mailing Address
First Line : 143 BEACON HILL DR
Second Line : #H23
City : DOBBS FERRY
State : NY
Zip : 10522-2461
Country : US
Telephone Number : 914-714-2263
Fax Number : 914-693-0210
Provider Business Practice Location Address
First Line : 547 SAW MILL RIVER RD
Second Line : SUITE 2F
City : ARDSLEY
State : NY
Zip : 10502-2143
Country : US
Telephone Number : 914-714-2263
Fax Number : 914-693-0210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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