National Provider Identifier
Jessica Goodman
Jessica Goodman is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Rochester, NY and a listed phone number of (617) 629-6790.
Profile Overview
- NPI
- 1407261779
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- June 25, 2014
- Last Updated
- January 19, 2024
Practice Location
- 300 Crittenden Blvd Box Psych
- Rochester, NY 14642-0001
Phone: (617) 629-6790
Specialties
- Marriage & Family Therapist (106H00000X)
- Psychologist (103T00000X)
Endpoints
- jgoodman146327@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1407261779
- Entity Type
- Individual
- Last Name
- Goodman
- First Name
- Jessica
- Mailing Street Address
- 300 Crittenden Blvd Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 300 Crittenden Blvd Box Psych
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (617) 629-6790
- Enumeration Date
- June 25, 2014
- Last Updated
- January 19, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193200000X Multi-Specialty Group
- Certification Date
- January 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Marriage & Family Therapist (106H00000X), Psychologist (103T00000X)