MARK GOODMAN (NPI# 1568749687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568749687 |
| Entity Type | Individual |
| Full Name | MARK GOODMAN |
| Credential | LCSW, CADC 3 |
| Practice Address |
929 Sw Simpson Ave Bend OR 97702-3599 |
| Practice Telephone | 5417063838 |
| Mailing Telephone | 5417063838 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215148127 | Mark Norman Goodman | Anesthesiology | 14813 Hollyhock Dr, Oklahoma City, OK 73142-1829 | 2007-05-24 |
| 1578638391 | Mark E. Goodman | Physical Therapy Assistant | 1709 N Walnut St, Hartford City, IN 47348-1359 | 2006-11-21 |
| 1851307813 | Mark Wesley Goodman | Dentist | 801 E Tamarack Rd, Altus, OK 73521-1231 | 2006-07-31 |
| 1629005780 | Mark Goodman | Pediatrics | 3200 Long Beach Blvd, Long Beach, CA 90807-5062 | 2006-06-26 |
| 1629039854 | Mark David Goodman | Psychologist | 125 W. 2nd Avenue, Suite E, Hutchinson, KS 67501-5300 | 2006-03-29 |
| 1518463959 | Mark Goodman | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2018-04-04 |
| 1801328455 | Mark Ariel Goodman | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219 | 2017-04-03 |
| 1609223908 | Mark Brandon Goodman | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514 | 2016-05-17 |
| 1093158354 | Mark Jeffrey Goodman | Counselor | 210 W Galer St, Seattle, WA 98119-3332 | 2013-04-16 |
| 1609018860 | Mark Quincy Goodman | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2009-04-01 |
| Street Address |
929 SW SIMPSON AVE |
| City | BEND |
| State | OR |
| Zip Code | 97702-3599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774877 | Paul Jennings Johnson | Family Medicine | 929 Sw Simpson Ave, Suite 300, Bend, OR 97702-3599 | 2005-07-19 |
| 1932503455 | Hannah Hogan | Acupuncturist | 929 Sw Simpson Ave, #150, Bend, OR 97702-3599 | 2014-10-13 |
| 1780092155 | Erica Danielle Crosta | Dentist | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2014-07-29 |
| 1982014049 | Nicholas Andrew Williams | Physician Assistant | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2014-04-29 |
| 1376886895 | Whitney K Drew | Physician Assistant | 929 Sw Simpson Ave, Suite 300, Bend, OR 97702-3599 | 2013-04-03 |
| 1912155870 | Point Chiropractic | Chiropractor | 929 Sw Simpson Ave, Ste 140, Bend, OR 97702-3599 | 2008-09-04 |
| 1952509291 | Stacy Caldwell | Physician Assistant | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 | 2007-07-09 |
| 1194862417 | David J Kelly | Family Medicine | 929 Sw Simpson Ave, Ste 300, Bend, OR 97702-3118 | 2007-01-30 |
| 1225104235 | Mark Thibert | Family Medicine | 929 Sw Simpson Ave, Suite 300, Bend, OR 97702-3599 | 2006-11-28 |
| 1609972439 | Dean T Nakadate | Podiatrist | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687676 | Bree Burch Counseling LLC | Counselor | 19781 Baneberry Ave, Bend, OR 97702-3360 | 2020-10-21 |
| 1740897511 | Steve Nathanial Harper | Counselor | 1354 Nw Ithaca Ave, Bend, OR 97703-2223 | 2020-09-25 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1962028928 | Elizabeth Kay Grotsky | Counselor | 1900 Ne Division St Ste 201, Bend, OR 97701-3572 | 2020-06-24 |
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1932723863 | Chloe Hallock | Counselor | 296 Sw Columbia St Ste D2, Bend, OR 97702-1020 | 2020-06-06 |
| 1275153983 | Riverbend Family Counseling | Counselor | 300 Se Reed Market Rd Ste 115, Bend, OR 97702-3814 | 2020-04-22 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1497391197 | Mountain Equinox LLC | Counselor | 1554 Ne 4th St, Bend, OR 97701-4240 | 2019-11-18 |
| Find all providers in BEND | ||||
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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.