| Jeffrey S Goodman Phd, Pc | |
|
355 Crawford St Suite 804 Portsmouth VA 23704-2816 | |
| (757) 397-4394 | |
| (757) 393-3990 |
| Full Name | Jeffrey S Goodman Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 355 Crawford St, Portsmouth, Virginia |
| Authorized Official Name and Position | Jeffrey Samuel Goodman (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7573974394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S Goodman Phd, Pc 355 Crawford St Suite 804 Portsmouth VA 23704-2816 Ph: (757) 397-4394 | Jeffrey S Goodman Phd, Pc 355 Crawford St Suite 804 Portsmouth VA 23704-2816 Ph: (757) 397-4394 |
| NPI Number | 1235476490 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 01/08/2013 |
| Medicare PECOS PAC ID | 4284887548 |
|---|---|
| Medicare Enrollment ID | O20130117000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235476490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeffrey S Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528091402 PECOS PAC ID: 5799722534 Enrollment ID: I20050413000122 |
Hampton Roads Psychological Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3104 Tyre Neck Rd, Portsmouth, VA 23703 Phone: 757-484-0616 Fax: 757-484-0618 | |
T. Lees Therapeutic Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4051 Cedar Ln Ste C, Portsmouth, VA 23703 Phone: 757-409-8775 | |
Additions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 739 High St, Portsmouth, VA 23704 Phone: 757-469-6975 | |
Connecting Communities, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 County St Ste 203, Portsmouth, VA 23704 Phone: 757-966-1689 Fax: 757-966-2834 | |
Mental Health Solution Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3615 Victory Blvd Ste 105, Portsmouth, VA 23701 Phone: 757-581-3897 | |
Shine The Light, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1319 Spratley St, Portsmouth, VA 23704 Phone: 757-639-7159 | |
Commonwealth Community Development Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 High St, Portsmouth, VA 23704 Phone: 757-822-3835 |