MR. MICHAEL W GOODWIN (NPI# 1386777928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386777928 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL W GOODWIN |
| Credential | ED.D |
| Practice Address |
576 State St Springfield MA 01109-4104 |
| Practice Telephone | 4137816485 |
| Practice Fax Number | 4137886925 |
| Mailing Telephone | 4137816485 |
| Mailing Fax Number | 4137886925 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7023 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616642 | Michael Goodwin | Student in an Organized Health Care Education/Training Program | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-05-06 |
| 1447635743 | Michael B Goodwin | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2015-07-28 |
| 1649526955 | Michael Anthony Goodwin | Dentist | 1005 Long Prairie Rd, Suite 100, Flower Mound, TX 75022-4241 | 2012-07-24 |
| 1568756591 | Michael D Goodwin | Family Medicine | 18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, OR 97224-7258 | 2011-06-07 |
| 1558674382 | Michael Eugene Goodwin | Physician Assistant | 4939 W Ray Rd, #4-508, Chandler, AZ 85226-2065 | 2010-07-21 |
| 1477734598 | Michael D Goodwin | Dentist | 11045 Broadway, Suite B, Crown Point, IN 46307-7474 | 2007-11-16 |
| 1114017837 | Michael J Goodwin | Orthopaedic Surgery | 1000 Ashland Dr, Suite 103, Ashland, KY 41101-7057 | 2006-10-13 |
| 1619913845 | Michael J Goodwin | Physician Assistant | 619 19th Street South, Birmingham, AL 35233 | 2006-06-22 |
| 1053303529 | Michael Goodwin | Anesthesiology | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2005-08-19 |
| Street Address |
576 STATE ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01109-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255423414 | Marybeth Malacarne | Counselor | 576 State St, Springfield, MA 01109-4104 | 2006-09-28 |
| 1306446059 | The Key Program, Incorporated. | Social Worker | 576 State St, Springfield, MA 01109-4104 | 2020-10-30 |
| 1235738519 | Felicishia Marie Holmes | Counselor | 576 State St, Springfield, MA 01109-4104 | 2020-10-19 |
| 1457965576 | Carly Rousseau | Counselor | 576 State St, Springfield, MA 01109-4104 | 2020-09-04 |
| 1114482072 | Breana Nicole Swain | Counselor | 576 State St, Springfield, MA 01109-4104 | 2019-02-05 |
| 1811460371 | Alan-michael Chest | Counselor | 576 State St, Springfield, MA 01109-4104 | 2019-01-08 |
| 1518464908 | Katherine Wadsworth | Counselor | 576 State St, Springfield, MA 01109-4104 | 2018-04-11 |
| 1184137903 | Nicole Zimmerman | Counselor | 576 State St, Springfield, MA 01109-4104 | 2017-11-15 |
| 1902332679 | Emma Harness | Counselor | 576 State St, Springfield, MA 01109-4104 | 2017-05-02 |
| 1841741550 | Jennifer Califano | Counselor | 576 State St, Springfield, MA 01109-4104 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479892 | Ethan Chase | Dentist | 555 State Street, Dental Dreams, Springfield, MA 01109 | 2015-02-11 |
| 1043591423 | Victoria A Jones | Counselor | 1104 Street Street, Suite 2d, Springfield, MA 01109 | 2011-08-30 |
| 1093043879 | Lee Ann Callagher | Occupational Therapist | 807 Wilbraham Rd., Springfield, MA 01109 | 2009-12-07 |
| 1740424993 | Pamela Joan Aselton | Nurse Practitioner | 263 Alden Street, Springfield College Health Service, Springfield, MA 01109 | 2009-04-30 |
| 1225642507 | Emma V Slater | Student in an Organized Health Care Education/Training Program | 263 Alden St, Springfield, MA 01109 | 2020-09-03 |
| 1184253239 | Hye Young Shin | Dentist | 555 State St, Springfield, MA 01109 | 2020-04-01 |
| 1225662992 | Mary Catherine Becker | Student in an Organized Health Care Education/Training Program | 263 Alden Street, Springfield, MA 01109 | 2020-03-02 |
| 1235630856 | Kathryn O'brien | Student in an Organized Health Care Education/Training Program | 11 Wilbraham Rd, Springfield, MA 01109 | 2018-02-28 |
| 1174074736 | Candace Griffith | Counselor | 140 High St., Suite 230, Springfield, MA 01109 | 2016-10-19 |
| 1356730279 | Pedro Ferrer | Counselor | 332 Birnie Ave, Springfield, MA 01109 | 2015-01-15 |
| Find all providers in zip 01109 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509187 | Laura M Maggio | Psychologist | 11 Stephanie Cir, Springfield, MA 01129-1961 | 2020-05-08 |
| 1215556386 | Lotus Healing Center LLC | Psychologist | 28 Millburn Ave Ste 6, Springfield, NJ 07081-1023 | 2020-04-09 |
| 1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
| 1689126120 | Assessment Consultants, LLC | Psychologist | 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 | 2016-11-01 |
| 1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
| 1669929907 | Richart Lipe Demier | Psychologist | 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 | 2016-09-03 |
| 1043660905 | Safe Harbor Christian Counseling of Northern Virginia LLC | Psychologist | 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 | 2016-06-21 |
| 1659786432 | Kimberly Wilkins Psyd LLC | Psychologist | 1344 W Oakville Rd, Springfield, MO 65810-1696 | 2014-06-30 |
| 1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
| 1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01109 |
Please comment or provide details below to improve the information on MR. MICHAEL W GOODWIN.
| 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.