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JAY GOODMAN
NPI 1295526192
Community/Behavioral Health in Baltimore, MD

Active since May 13, 2025
4805 GARRISON BLVD, BALTIMORE, MD 21215(443) 869-2600 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jay Goodman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY GOODMAN (NPI 1295526192) is an individual community/behavioral health provider in Baltimore, Maryland and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1295526192
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameJAY GOODMAN
Location Address4805 GARRISON BLVDBaltimore, MD 21215-5695
Mailing Address4221 Towanda AveBaltimore, MD 21215-6626 · (443) 814-3598
Phone(443) 869-2600
Sole ProprietorYes
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1295526192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4805 GARRISON BLVD, Baltimore, MD 21215
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESHA WILLS
Counselor (Mental Health)
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
NINA N ROBINSON
Counselor (Addiction (Substance Use Disorder))
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
CHANGING LIVES AT HOME SUD,INC
Community/Behavioral Health
4805 GARRISON BLVD, 1ST FLOOR AND SUITE 200
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
IVY MARINO
Rehabilitation Counselor
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
WINDELL POWELL
Counselor (Mental Health)
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
MS. MAMAYAA GYASI CPRP
Community/Behavioral Health
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
KENYATTA THOMPSON
Social Worker
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600
MORGAN SHANAE KERSTETTER BA
Community Health Worker
4805 GARRISON BLVD
BALTIMORE, MD 21215
Baltimore City (443) 869-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Goodman's NPI number?

The NPI number for Jay Goodman is 1295526192. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Jay Goodman located?

Jay Goodman practices at 4805 Garrison Blvd, Baltimore, MD 21215. The listed phone number is (443) 869-2600.

What is Jay Goodman's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jay Goodman was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.