DR. REBECCA GOFFMAN (NPI# 1003048885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003048885 |
| Entity Type | Individual |
| Full Name | DR. REBECCA GOFFMAN |
| Credential | LP |
| Practice Address |
9220 Bass Lake Rd Ste 255 New Hope MN 55428-3019 |
| Mailing Address |
22426 Saint Francis Blvd Anoka MN 55303-9670 |
| Practice Telephone | 7632254052 |
| Mailing Telephone | 7637537310 |
| Mailing Fax Number | 7637536529 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP5120 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7625 Metro Blvd Ste 200, Edina, MN 554393079 | 9529454092 |
| Street Address |
9220 BASS LAKE RD STE 255 |
| City | NEW HOPE |
| State | MN |
| Zip Code | 55428-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769572 | Volunteers of America Mn/wi | Clinic/Center | 9220 Bass Lake Rd Ste 255, New Hope, MN 55428-3019 | 2006-05-20 |
| 1598268575 | Kristin Fiedler | Counselor | 9220 Bass Lake Rd Ste 255, New Hope, MN 55428-3019 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1194065367 | Elizabeth King Reeves | Psychologist | 250 Union Square Dr, New Hope, PA 18938-1366 | 2013-02-25 |
| 1467627026 | Wilma Caffentzis | Psychologist | 7034 Ely Rd, New Hope, PA 18938-5725 | 2008-04-24 |
| 1154502581 | Ty Culiner, Ph.d. LLC | Psychologist | 55 N Main St, New Hope, PA 18938-1340 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| 1831740216 | Seth Gordon Disner | Psychologist | 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.