Dr. Jesse Adam Goodman
Psychiatry & Neurology (Psychiatry)

Address: 38 Church St, Suite 101, Lenox, MA 01240-2525
Phone: 4136372300

Dr. Jesse Adam Goodman (NPI# 1922011246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922011246
Entity Type Individual
Full Name Dr. Jesse Adam Goodman
Credential M.D.
Gender Male
Practice Address 38 Church St
Suite 101
Lenox
MA 01240-2525
Practice Telephone 4136372300
Practice Fax Number 4133155276
Mailing Address 38 Church St
Suite 101
Lenox
MA 01240-2525
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-08-15
Last Update Date 2011-10-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2084P0800X Psychiatry & Neurology · Psychiatry Allopathic & Osteopathic Physicians 160625 MA

Other Provider Identifier

State Identifier Issuer Type Code
MA 2021528 MEDICAID
MA J26890 OTHER BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA 2299118580 OTHER UNITED HEALTHCARE

Providers with the same name

NPI Name Taxonomy Address Enumeration
1457415366 Jesse Lyle Goodman Internal Medicine Wramc, Building 2, Department of Medicine, 6900 Georgia Ave, Washington, DC 20307-5001 2006-12-22
1609248202 Jesse Goodman Nurse Practitioner 17782 Cowan Ste A, Irvine, CA 92614-6041 2015-10-22
1699843342 Jesse Lee Goodman Physician Assistant 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 2006-12-01

Physician Overview

NPI 1922011246
PAC ID by PECOS 6800795972
Professional Enrollment ID I20040107000803
Full Name Jesse A Goodman
Phone Number 4136372300
Gender M
Credential MD
Medical School MAYO MEDICAL SCHOOL
Graduation Year 1998
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
221302 FAIRVIEW HOSPITAL

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013424795 Sharon A. Mozian, M.d., P.C. Psychiatry & Neurology 52 Brunell Ave, Lenox, MA 01240-2025 2018-01-04
1528111762 John Allen Miner Psychiatry & Neurology 25 Housatonic St, Lenox, MA 01240 2007-01-19
1023056322 Kathleen D Friend Psychiatry & Neurology 25 Franklin St, Lenox, MA 01240-2303 2006-06-02
1649256900 Richard M Berlin Psychiatry & Neurology 55 Pittsfield Rd, Suite 6a, Lenox, MA 01240-2123 2005-12-19
1073597845 Mark Bruckel Elliot Psychiatry & Neurology 69 Church St, Suite 5, Lenox, MA 01240-2771 2005-12-05
1427188093 Brian Scott Dundas Psychiatry & Neurology 55 Pittsfield Rd, Suite 6b, Lenox, MA 01240-2123 2007-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164085080 Health and Human Services, LLC Psychiatry & Neurology 76 Beech St, Norwood, MA 02062-2047 2019-04-16
1386126605 Dr. E. H. Eskander and Associates, P.C. Psychiatry & Neurology 181 Park Ave Ste 13, West Springfield, MA 01089-3365 2018-09-04
1588145692 Novum Psychiatrists Psychiatry & Neurology 30 Man Mar Dr Ste 7, Plainville, MA 02762-2271 2018-08-27
1093200537 Brain-mind Institute of New England Psychiatry & Neurology 21 Highland Ave Ste 24, Newburyport, MA 01950-3873 2018-06-27
1124523311 Varsha Radhakrishnan Psychiatry & Neurology 330 Brookline Avenue, Rabb-2, Bidmc Harvard Psychiatry Residency Training Program, Boston, MA 02215 2018-03-28
1760987408 Lucy Lan Psychiatry & Neurology Department of Psychiatry, Boston Medical Center, Doctor's Office Building, 720 Harrison Ave, Suite 915, Boston, MA 02118 2018-03-26
1245734607 Brittany Morgan Gouse Psychiatry & Neurology 720 Harrison Ave Fl 9, Boston, MA 02118 2018-03-21
1609370386 Jennifer A Tufts Psychiatry & Neurology 720 Harrison Ave Ste 914, Boston, MA 02118 2018-03-19
1043721012 Family Connections Center, LLC Psychiatry & Neurology 25 Main St Ste 330, Northampton, MA 01060-3130 2017-10-18
1336660323 Nat Kuhn Md, LLC Psychiatry & Neurology 68 Leonard St Ste 208, Belmont, MA 02478-2577 2017-06-29
Find all providers with the same taxonomy

Office Location

Street Address 38 CHURCH ST
SUITE 101
City LENOX
State MA
Zip Code 01240-2525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770986960 Jenifer L Daily Lcsw Pllc Social Worker 38 Church St, Suite 101, Lenox, MA 01240-2525 2014-10-01
1790114783 Louise Rose Weeden Counselor 38 Church St, Lenox, MA 01240-2525 2013-11-11
1861701088 Jennifer Louise Daily Social Worker 38 Church St, Suite 101, Lenox, MA 01240-2525 2010-10-05
1295056554 Ann Novick Counselor 38 Church St, # 102, Lenox, MA 01240-2525 2010-06-21
1467635078 Lisa Kaplan Kantor Psychologist 38 Church St, Suite 102, Lenox, MA 01240-2525 2007-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811431943 Dr. Glass Lenox Psychiatry, LLC Clinic/Center 69 Church Street, Suite 6, Lenox, MA 01240 2016-12-08
1558713065 Nada Esa Internal Medicine 26 Old Stockbridge Rd, P.o 43, Lenox, MA 01240 2016-07-08
1962701367 Ens Health Care of The Berkshires LLC In Home Supportive Care 31a Church Street, Lenox, MA 01240 2011-03-24
1164603718 Kelly A Clady-giramma Acupuncturist Acupuncture Dept., Canyon Ranch, 165 Kemble St., Lenox, MA 01240 2007-11-23
1871707687 Janet Amadon Richardson Licensed Practical Nurse 449 Pittsfield Rd, Premier Home Health, Lenox, MA 01240 2007-05-10
1528111762 John Allen Miner Psychiatry & Neurology 25 Housatonic St, Lenox, MA 01240 2007-01-19
1558474338 Jean R Brown Social Worker 25 Housatonic Street, Lenox, MA 01240 2006-08-16
1760902068 Saarika M Nair Internal Medicine 725 North Street, Pittsfield, MA 01240 2017-06-27
1992234397 Michelle Dasilva Occupational Therapy Assistant 40 Sunset Ave, Lenox, MA 01240 2017-06-08
1104202118 Biji Manoj Vengalil Nurse Practitioner 55 Pittsfield Rd, Lenox, MA 01240 2015-08-03
Find all providers in zip 01240

Competitor

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City LENOX
Zip Code 01240

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Dataset Information

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.

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