EDWIN BAKER GOODALL III (NPI# 1134348329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134348329 |
| Entity Type | Individual |
| Full Name | EDWIN BAKER GOODALL III |
| Credential | PH.D. |
| Practice Address |
401 Gilford Ave Unit 103 Gilford NH 03249-7500 |
| Mailing Address |
Po Box 134 Center Sandwich NH 03227-0134 |
| Practice Telephone | 6034967955 |
| Practice Fax Number | 6035282257 |
| Mailing Telephone | 6032847174 |
| Mailing Fax Number | 6035282257 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
196 | NH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80622256 | 05 | |
| NH | ANTHEM BCBS | 0602256YONHO1 | 01 |
| Street Address |
401 GILFORD AVE UNIT 103 |
| City | GILFORD |
| State | NH |
| Zip Code | 03249-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730146143 | Donna Marie Lang-rice | Physical Therapist | 401 Gilford Ave, Unit 240, Gilford, NH 03249-7500 | 2006-04-28 |
| 1184119075 | Mary Pauline Hand | Dentist | 401 Gilford Ave, Gilford, NH 03249-7500 | 2018-06-25 |
| 1215254222 | Mitchelle Marie Doyon | Physical Therapist | 401 Gilford Ave, Suite 240, Gilford, NH 03249-7500 | 2010-04-29 |
| 1730376385 | Katie Marie Chevalier | Physical Therapist | 401 Gilford Ave, Gilford Physical Therapy & Spine Center Pllc, Gilford, NH 03249 | 2007-09-27 |
| 1780897280 | William Zeckhausen | Counselor | 401 Gilford Ave, Gilford, NH 03249-7500 | 2007-05-08 |
| 1932252467 | Robert G Hlasny | Psychologist | 401 Gilford Ave, Suite 105, Gilford, NH 03249-7500 | 2007-01-19 |
| 1134271612 | Susan Hattie Walsh | Social Worker | 401 Gilford Ave, Gilford, NH 03249-7500 | 2007-01-17 |
| 1336290238 | Susan Lough Rudolf | Physical Therapist | 401 Gilford Ave, Unit 240, Gilford, NH 03249-7500 | 2007-01-16 |
| 1346391844 | Stephen Jospeh Catalano | Psychologist | 401 Gilford Ave, Gilford, NH 03249-7500 | 2007-01-13 |
| 1811007669 | Mark A. Horvath | Dentist | 401 Gilford Ave, Suite 245, Gilford, NH 03249-7500 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083102081 | Maryann Willard Lessard | Registered Nurse | 303 Old Lake Shore Rd G-9, Gilford, NH 03249 | 2018-04-25 |
| 1578943882 | Sandra Moore-beinoras | Nurse Practitioner | 25 Country Club Rd, Suite 601, Gilford, NH 03249 | 2015-06-02 |
| 1447671946 | Pam Seed | Speech-Language Pathologist | 177 Gunstock Hill Road, Gilford, NH 03249 | 2013-12-31 |
| 1285935866 | Children's Dentistry of The Lakes Region, Pllc | Dentist | 369 Hounsell Ave, Unit #1, Gilford, NH 03249 | 2010-11-12 |
| 1104091578 | Denise Poudrier Normandin | Dietitian, Registered | 233 Stark St, Gilford, NH 03249 | 2008-04-28 |
| 1881893527 | Matthew Charles Jensen | Chiropractor | 14 Maple St Ste 100, Gilford, NH 03249 | 2007-07-12 |
| 1891917878 | Kathleen Kammeraad | Pharmacist | 1458 Lakeshore Road, Gilford, NH 03249 | 2007-05-02 |
| 1346331683 | Morton Aaron Levin | Dentist | 401 Gilford Avenue, Gilford, NH 03249 | 2006-09-28 |
| 1972529907 | Christopher Joseph Martino | Psychiatry & Neurology | 14 Maple St, Ste 400, Gilford, NH 03249 | 2006-07-14 |
| 1245205046 | Laconia Cardiology | Internal Medicine | 369 Hounsell Avenue, Suite #5, Gilford, NH 03249 | 2006-02-23 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053328567 | John Anthony Walsh Jr. | Psychologist | 401 Gilford Ave # 1c, Gilford, NH 03249-7500 | 2006-08-01 |
| 1467570937 | Karen P Wayment | Psychologist | 25 Country Club Rd, Suite 703, Gilford, NH 03249-6972 | 2007-03-26 |
| 1932252467 | Robert G Hlasny | Psychologist | 401 Gilford Ave, Suite 105, Gilford, NH 03249-7500 | 2007-01-19 |
| 1881658995 | Nicholas S Kalfas | Psychologist | 25 Country Club Rd, Ste 504, Gilford, NH 03249-6972 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667682 | Sarah Warren | Psychologist | 60 Dumbarton Oaks, Stratham, NH 03885-2107 | 2020-07-23 |
| 1326665712 | Joshua J Green | Psychologist | 37 Church St Apt 4, Keene, NH 03431-3892 | 2020-07-01 |
| 1770102998 | Dcy Consulting Pllc | Psychologist | 11 Brackenwood Drive, Nashua, NH 03062 | 2020-04-09 |
| 1134761927 | Katherine Evarts Rice | Psychologist | 40 Avon St, Keene, NH 03431-3516 | 2019-10-13 |
| 1023576899 | Mountain Psychology Group, Pllc | Psychologist | 111 Saranac St Ste 135, Littleton, NH 03561-4088 | 2019-03-11 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1245723360 | Kathy Davisgillette | Psychologist | 2 Park Cir, North Hampton, NH 03862-2244 | 2018-06-13 |
| 1942799911 | David Cort Young | Psychologist | 11 Brackenwood Dr, Nashua, NH 03062-4529 | 2018-05-06 |
| 1093235038 | Lauren Katherine Meehan | Psychologist | 87 Stiles Rd Ste 106, Salem, NH 03079-2899 | 2017-06-21 |
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
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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.