AMY GOODMAN (NPI# 1407980279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407980279 |
| Entity Type | Individual |
| Full Name | AMY GOODMAN |
| Practice Address |
819 Busse Hwy Maine Center Park Ridge IL 60068-2360 |
| Practice Telephone | 8476961376 |
| Practice Fax Number | 8476961587 |
| Mailing Telephone | 8476961376 |
| Mailing Fax Number | 8476961587 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846435 | Amy Goodman | Specialist | 1 Renaissance Sq Unit 20c, White Plains, NY 10601-3034 | 2019-05-17 |
| 1396039699 | Amy Goodman | Contractor | 2572 Abby Ln, Dover, PA 17315-4503 | 2011-06-03 |
| 1740303759 | Amy Beth Goodman | Speech-Language Pathologist | 972 Oak Hill Ct, Middlebury, IN 46540-9272 | 2007-04-06 |
| 1942292701 | Amy D Goodman | Clinic/Center | 1375 Oakwood Ct, San Luis Obispo, CA 93401-5918 | 2005-08-18 |
| 1407400195 | Amy Elizabeth Goodman | Occupational Therapist | 1880 General George Patton Dr Ste 202b, Franklin, TN 37067-6429 | 2019-07-30 |
| 1225593791 | Amy Goodman | Student in an Organized Health Care Education/Training Program | 1325 Williams St, Adrian, MI 49221-2563 | 2019-02-08 |
| 1003206251 | Amy Goodman | Physician Assistant | 5115 Centre Ave, Pittsburgh, PA 15232-1301 | 2015-01-27 |
| 1265865414 | Amy Kay Goodman | Physician Assistant | 2383 Pate St N, Snellville, GA 30078-3250 | 2013-08-12 |
| 1740559327 | Amy Elizabeth Goodman | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2011-12-28 |
| 1841358033 | Amy Goodman | Social Worker | 83 Maiden Ln, 6th Floor, New York, NY 10038-4812 | 2006-12-04 |
| Street Address |
819 BUSSE HWY MAINE CENTER |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-2360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548392301 | Donald John Koziol | Psychiatry & Neurology | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2007-03-09 |
| 1750784237 | Laura Connor | Counselor | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2014-09-29 |
| 1245664952 | Sierra Jade Mcinroe | Counselor | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2013-08-29 |
| 1528317013 | Sarah Ahmed | Counselor | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2012-08-30 |
| 1346599933 | Sarah Schroeder | Social Worker | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2012-08-29 |
| 1396093639 | Brittany Randolph | Counselor | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2012-08-16 |
| 1629338678 | Caroline Clipper I | Counselor | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2012-05-24 |
| 1710288683 | Ilene Fortin | Community Health Worker | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2010-11-09 |
| 1003146465 | David Evan Morrison IIi | Psychiatry & Neurology | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2010-01-07 |
| 1912135625 | Marina Smirnov | Psychiatry & Neurology | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146478 | Daniel J Smith | Counselor | 52 Park Ave, Park Ridge, NJ 07656-1277 | 2020-02-14 |
| 1396106415 | Antoinette Uzzalino | Counselor | 52 Hawthorne Ave Apt E, Park Ridge, NJ 07656-1279 | 2016-03-17 |
| 1083051486 | Meghan Erwin | Counselor | 1003 Rene Ct, Park Ridge, IL 60068-2073 | 2013-05-27 |
| 1558523837 | Lisa Elaine Osborn | Counselor | 1855 Parkside Dr, Apt 3, Park Ridge, IL 60068-1057 | 2008-06-27 |
| 1477987915 | Jennifer Eileen Mieszala | Counselor | 1400 Renaissance Dr, #101, Park Ridge, IL 60068-1329 | 2013-08-31 |
| 1477738086 | Mariann Smith | Counselor | 1440 Renaissance Dr, 320, Park Ridge, IL 60068-1356 | 2008-01-02 |
| 1679693246 | Dragana Trivanovic | Counselor | 819 Busse Hwy, Park Ridge, IL 60068-2360 | 2007-03-29 |
| 1447383583 | John Quinn | Counselor | 819 Busse Hwy, Maine Center, Park Ridge, IL 60068-2360 | 2007-03-14 |
| 1306979588 | Nicole Dugger | Counselor | 819 Busse Hwy, Maine Center, Park Ridge, IL 60068-2360 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1093322638 | New Horizon Mental and Behavioral Services | Counselor | 12052 S Lockwood Ave, Alsip, IL 60803-3165 | 2020-09-28 |
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1497360697 | Cassandra Lynn Wegner | Counselor | 2529 Ravinia Ln, Woodridge, IL 60517-2241 | 2020-09-14 |
| 1831703131 | Colleen Mertens | Counselor | 100 Tower Dr Ste 236, Burr Ridge, IL 60527-5787 | 2020-09-03 |
| 1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
| 1417574203 | Kathy O Valentin | Counselor | 1640 Pleasant Ln, Glenview, IL 60025-1847 | 2020-06-29 |
| 1669098844 | James Earl Brooks I | Counselor | 523 Clark St, South Beloit, IL 61080-1317 | 2020-06-23 |
| 1780200014 | Anchorpoint Adolescent Consultant Group Inc. | Counselor | 1246 N Yale Ave, Arlington Heights, IL 60004-4564 | 2020-06-23 |
| 1891311502 | Ashlie Jones | Counselor | 3226 Hoffman St, Plano, IL 60545-1992 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on AMY GOODMAN.
| 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.