DR. ROBERT CLARE GOODWIN M.D. NPI 1215051164

NPI Information

NPI: 1215051164
Provider Name: DR. ROBERT CLARE GOODWIN, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1726 ELLINGTON RD
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 644-9191

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NPI Details

DR. Robert Clare Goodwin, M.D. is a specialist in South Windsor, CT with 54 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Robert Clare Goodwin, M.D. NPI is 1215051164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1726 ELLINGTON RD
SOUTH WINDSOR, CT
ZIP 06074-739
Phone: (860) 644-9191
Fax: (860) 644-9191

The NPI 1215051164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2007 and was last updated on 10/31/2013.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	016361	CONNECTICUT	No
2	174400000X	Specialist		16361	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DO2888	MEDICARE UPIN
2	260000487	MEDICARE ID-TYPE UNSPECIFIED
3	010016361CT01	OTHER	CONNECTICUT	NON-PAR ANTHEM ID

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: 3/30/2025

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