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Stacey Goodman, COTA
NPI 1568639490 · Specialist · South Bend, IN
Stacey Goodman, COTA is a Specialist provider in South Bend, IN (NPI 1568639490).
Provider details
- NPI number
- 1568639490
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 32000767A (IN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
926 E Wayne St
South Bend, IN 46617-3000
Phone: (574) 233-8812
Fax: (574) 233-8873
Street-level locationGet directions
Mailing address
10379 Edison Rd
Osceola, IN 46561-9355
Registry dates
- Enumerated
- 2008-05-09
- Last updated
- 2008-05-09
Frequently asked questions
- What is Stacey Goodman's NPI number?
- Stacey Goodman's National Provider Identifier (NPI) is 1568639490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Goodman's specialty?
- Stacey Goodman is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Stacey Goodman located?
- Stacey Goodman's practice location on file with NPPES is 926 E Wayne St, South Bend, IN 46617-3000.
- What is Stacey Goodman's phone number?
- The practice phone number listed in the NPPES registry for Stacey Goodman is (574) 233-8812.
- Is Stacey Goodman's NPI active?
- Yes — Stacey Goodman's NPI (1568639490) is active in the NPPES registry as of the last update on 2008-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.