MS. ROBERTA R GOODMAN (NPI# 1831269448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831269448 |
| Entity Type | Individual |
| Full Name | MS. ROBERTA R GOODMAN |
| Credential | LPAT |
| Practice Address |
187 Tesuque Village Rd Tesuque NM 87506 |
| Mailing Address |
Po Box 1111 Santa Fe NM 87504-1111 |
| Practice Telephone | 5059883686 |
| Practice Fax Number | 5053101576 |
| Mailing Telephone | 5059883686 |
| Mailing Fax Number | 5053101576 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0438 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811251556 | Roberta Goodman | Psychologist | 826 S Hastings Way, Eau Claire, WI 54701-3426 | 2012-06-27 |
| Street Address |
187 TESUQUE VILLAGE RD |
| City | TESUQUE |
| State | NM |
| Zip Code | 87506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110920 | Nambe Pueblo | Clinic/Center | 16a Tayeh Huu U, Pueblo of Nambe, NM 87506 | 2020-10-05 |
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
| 1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
| 1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
| 1598841769 | Jude Pardee | Psychologist | 217 Camino Del Rincon, Santa Fe, NM 87506 | 2006-10-31 |
| Find all providers in zip 87506 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1679173827 | Joann Elizabeth Mitchell | Counselor | 620 Teresa Ct Se, Rio Rancho, NM 87124-2382 | 2020-10-27 |
| 1184222507 | Teddie Chambers-ruiz | Counselor | 536 Los Lentes Rd Se, Los Lunas, NM 87031-7052 | 2020-10-16 |
| 1740888247 | Patricia Garcia | Counselor | 2006 Southern Blvd Se Ste 202, Rio Rancho, NM 87124-3758 | 2020-10-15 |
| 1467059428 | Danielle Lorraine Mascarenas | Counselor | 932 Tulip Rd Se, Rio Rancho, NM 87124-3858 | 2020-10-02 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1548877855 | Gerasimos Demosthenis Klonis | Counselor | 100 6th St S, Socorro, NM 87801-4139 | 2020-09-30 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1619584182 | Marybeth Hallman | Counselor | 1219 Luisa St Ste 10, Santa Fe, NM 87505-4176 | 2020-09-28 |
| 1619583366 | Kelsey Ullrich | Counselor | 409 Alejandro Street, Guest House, Santa Fe, NM 87501-8750 | 2020-09-18 |
| 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.