| Goodman's Behavioral Health Clinic, Llc | |
|
2213 E Main St Reedsburg WI 53959-9439 | |
| (608) 768-4545 | |
| (608) 768-4646 |
| Full Name | Goodman's Behavioral Health Clinic, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2213 E Main St, Reedsburg, Wisconsin |
| Authorized Official Name and Position | Barbara Gail Goodman (OWNER) |
| Authorized Official Contact | 6083937470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman's Behavioral Health Clinic, Llc 2213 E Main St Reedsburg WI 53959-9439 Ph: (608) 768-4545 | Goodman's Behavioral Health Clinic, Llc 2213 E Main St Reedsburg WI 53959-9439 Ph: (608) 768-4545 |
| NPI Number | 1740458363 |
|---|---|
| Provider Enumeration Date | 02/16/2008 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729167614 |
|---|---|
| Medicare Enrollment ID | O20080502000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740458363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1798-123 (Wisconsin) | Primary |
| Provider Name | Barbara Gail Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104860998 PECOS PAC ID: 5395703011 Enrollment ID: I20041230000126 |
| Provider Name | Randall K Cullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255368346 PECOS PAC ID: 4486689015 Enrollment ID: I20051003000031 |
| Provider Name | William A Windels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407875826 PECOS PAC ID: 8527247071 Enrollment ID: I20110128001072 |
| Provider Name | Amy Schoenoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134603731 PECOS PAC ID: 8426301201 Enrollment ID: I20181024001543 |
| Provider Name | Scott Alan Ethun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447571062 PECOS PAC ID: 3274790530 Enrollment ID: I20190517000936 |
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