Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Goodman

Individual provider Clinical Psychologist · NPI 1588107569

Evan Goodman is a Clinical Psychologist in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Community Mental Health Authority of Clinton Eaton Ingham Counties, a 76-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2016
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

909 E State Blvd
Fort Wayne, IN 46805-3404
Phone: (260) 482-9125
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20043165A (IN)

Record details

NPI number1588107569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESNovember 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Mental Health Authority Of Clinton Eaton Ingham Counties — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne