Dr. Shelley Z Goodman, PhD
Psychologist in Elkins Park, PA. Individual provider (NPI-1).
NPI number1194875575
StatusActive
Last updated in NPPESMay 2, 2025
Details
- NPI
- 1194875575
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shelley Z Goodman
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2007
- Certification date
- May 2, 2025
- Last updated
- May 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PS006393-L | PA | Yes |
Practice location
7401 Old York RdElkins Park, PA 19027-3005
Phone 215-782-1297 · Fax 215-754-0999
Mailing address
7857 Spring AveElkins Park, PA 19027-2619
Phone 215-782-1297 · Fax 215-754-0999
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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