FREDERICK GREG GOODRICH PHD
NPI 1316007453
Psychologist in Bayshore, NY

Active since December 11, 2006PECOS Enrolled
260 W MAIN ST, STE 7, BAYSHORE, NY 11706(631) 665-3768(631) 665-3768 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Greg Goodrich Phd NPPES

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

FREDERICK GREG GOODRICH PHD (NPI 1316007453) is an individual psychologist in Bayshore, New York, licensed in New York (08100) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316007453
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameFREDERICK GREG GOODRICHCredential: PHD
Location Address260 W MAIN ST, STE 7Bayshore, NY 11706
Mailing Address260 W Main St, Ste 7Bayshore, NY 11706 · (631) 665-3768 · Fax (631) 665-3768
Fax(631) 665-3768
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316007453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 08100
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
260 W MAIN ST, Bayshore, NY 11706

Other Identifiers 3

Medicare UPINR51408
Medicaid00918332NY
Medicare ID-Type UnspecifiedV24161NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Frederick Greg Goodrich Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
260 W MAIN ST, SUITE 8
BAY SHORE, NY 11706
In Home Supportive Care
260 W MAIN ST, SUITE 15
BAY SHORE, NY 11706
Social Worker (Clinical)
260 W MAIN ST, SUITE 8
BAY SHORE, NY 11706
Psychologist
260 W MAIN ST, SUITE # 8
BAY SHORE, NY 11706
Social Worker
260 W MAIN ST
BAY SHORE, NY 11706
Physical Medicine & Rehabilitation (Pain Medicine)
260 W MAIN ST, SUITE 12
BAY SHORE, NY 11706

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 Frederick Goodrich's NPI number?

The NPI number for Frederick Goodrich is 1316007453. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Frederick Goodrich located?

Frederick Goodrich practices at 260 W Main St Ste 7, Bayshore, NY 11706. The listed phone number is (631) 665-3768.

What is Frederick Goodrich's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Frederick Goodrich enrolled in Medicare?

Yes. Frederick Goodrich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederick Goodrich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.