Michaele E Goodman
Clinical Psychologist
220 E 54th St Suite #1c
New York
, New York 10022-4837
Michaele E Goodman
Clinical Psychologist
220 E 54th St Suite #1c
New York
, New York 10022-4837
(914) 939-3414
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Michaele E Goodman
- 34 Perry Ave
- Port Chester, NY
- Zip : 10573-2920
- Phone : (914) 939-3414
Second Address
- Michaele E Goodman
- 220 E 54th St Suite #1c
- New York, NY
- Zip : 10022-4837
- Phone : (212) 593-5740
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 009860 | NY |
| Y | 103TC0700X | Clinical Psychologist | 009860 | NY |
National Provider Identifier
| NPI | 1013017672 |
|---|---|
| Provider Name | Michaele E Goodman |
| First Address | Port Chester, NY 10573-2920 |
| Second Address | New York, NY 10022-4837 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.