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GODDARD MEDICAL SERVICES LLC
NPI 1659911832
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since January 15, 2020
9025 COLDWATER RD STE 200, FORT WAYNE, IN 46825(260) 459-9225(608) 001-5122 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2020, Jan 22, 2020, Jan 15, 2020 (3 updates tracked since 2020).

About Goddard Medical Services Llc NPPES

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

GODDARD MEDICAL SERVICES LLC (NPI 1659911832) is a healthcare organization registered as a psychiatric/mental health in Fort Wayne, Indiana and active in the NPI registry since January 2020. The organization lists Sean Goddard, Owner, as its authorized official.

NPPES Registry Identity

NPI1659911832
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGODDARD MEDICAL SERVICES LLC
Location Address9025 COLDWATER RD STE 200Fort Wayne, IN 46825-2097
Mailing Address9025 Coldwater Rd Ste 200Fort Wayne, IN 46825-2097 · (260) 459-9225 · Fax (608) 001-5122
Phone(260) 459-9225
Fax(608) 001-5122
Organization SubpartNo
Authorized OfficialSean GoddardOwner · (812) 226-9600
Enumeration DateJanuary 15, 2020
Last NPPES UpdateFebruary 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
✔ NPI 1659911832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse PractitionerTaxonomy 363L00000X
9025 COLDWATER RD STE 200, Fort Wayne, IN 46825
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Other Identifiers 1

Other71008436AIN · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES

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

IRIS KETAMINE & INFUSIONS, LLC
Nurse Practitioner
9025 COLDWATER RD STE 200
FORT WAYNE, IN 46825
Allen County (866) 218-5620

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 Goddard Medical Services LLC's NPI number?

The NPI number for Goddard Medical Services LLC is 1659911832. It was assigned to this organization in the NPPES registry on January 15, 2020.

Where is Goddard Medical Services LLC located?

Goddard Medical Services LLC is located at 9025 Coldwater Rd Ste 200, Fort Wayne, IN 46825. The listed phone number is (260) 459-9225.

What is Goddard Medical Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Goddard Medical Services LLC accept?

Health plans from CareSource list Goddard Medical Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Goddard Medical Services LLC was last updated on February 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.