AVIVA RACHEL GOODMAN NPI 1093430480

NPI Information

NPI: 1093430480
Provider Name: AVIVA RACHEL GOODMAN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1000 NORTHERN BLVD STE 114
GREAT NECK, NY
ZIP 11021
Phone: (443) 255-6485
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Aviva Rachel Goodman is a mental health counselor in Great Neck, NY. Aviva Rachel Goodman NPI is 1093430480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 NORTHERN BLVD STE 114
GREAT NECK, NY
ZIP 11021-312
Phone: (443) 255-6485

The enumeration date for this NPI number is 10/7/2022 and was last updated on 10/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LC11018	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	012544	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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