Evan Goodman
Clinical Psychologist · Fort Wayne, IN
Evan Goodman is a clinical psychologist with a practice address in Fort Wayne, Indiana, and NPI 1588107569, issued on Nov 23, 2016. Check the license (Indiana 20043165A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Evan Goodman
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 20043165A IN
Self-reported in NPPES; status is on the state search - Practice location
- 909 E State Blvd, Fort Wayne, IN 46805
- Phone
- (260) 482-9125
- Enumerated
- Nov 23, 2016
- Record last updated
- Nov 26, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190228001554); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 838 in Indiana → Look up another NPI →
Also registered at 909 E State Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Denise Adamonis, LPNLicensed Practical Nurse1831395045
- Judy Adams, MSSocial Worker1598943722
- Krista Agler, MAMental Health Counselor1326460882
- Janet Anderson, RN FNPNurse Practitioner1134379688
- Sean Andes, MSMental Health Counselor1295096865
- Patricia Armstrong, LPNLicensed Practical Nurse1225214844
Verify Evan Goodman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 20043165ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Community Mental Health Authority OF Clinton Eaton Ingham CountiesLansing, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Evan Goodman among 838 clinical psychologist records in Indiana
Evan Goodman is one of 838 clinical psychologist records with a practice address in Indiana. 20% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 77% of them.
- NPI issued2016 · 77% of these records are older, 21% newer
- In a Medicare fileYes · 20% of these records are
- In the CMS Doctors and Clinicians fileYes · 26% of these records are
- Graduated2017 · median 2006 among the 222 with a school on file
- Record last updated2018 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Psychologist providers in Indiana
There are 838 clinical psychologist records in Indiana.
All 838 in Indiana → Every provider in Fort Wayne → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Ina Carlson, PH.D., HSPPFort Wayne, IN 468051265490650
- Tabitha Carlson, PSYDFort Wayne, IN 468051649423344
- Michael Dennis, PSY.D.Fort Wayne, IN 468051639360886
- Jessica Hackenberg, PSY.D.Fort Wayne, IN 468051073912580
- Vivian Hernandez, PH.D., HSPPFort Wayne, IN 468051396735064
- Richard Hite, PH.D., HSPPFort Wayne, IN 468051124087036
- Jere Leib, PH.D.Fort Wayne, IN 468051457350506
- Mirela Militaru, PSY.D.Fort Wayne, IN 468051588906598
Common questions
What is Evan Goodman's NPI number?
Evan Goodman's National Provider Identifier (NPI) is 1588107569, issued on Nov 23, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Evan Goodman located?
The NPPES record lists a practice address at 909 E State Blvd, Fort Wayne, IN, 46805. Phone: (260) 482-9125. Providers update this record themselves, so call before visiting.
How can I verify Evan Goodman's license?
NPPES lists Indiana license number 20043165A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.