DR. REBECCA GOFFMAN (LP) – Clinical Psychologist, NPI 1003048885
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,110 CLINICAL PSYCHOLOGIST in MN
Provider Addresses for DR. REBECCA GOFFMAN (LP)
7625 METRO BLVD STE 200
MINNEAPOLIS, MN 554393057
Phone: (763) 945-4000
Type: Mailing
7625 Metro Blvd Ste 200
Edina, MN 554393079
Phone: (952) 945-4092
Type: Location
2970 Judicial Rd Ste 100
Burnsville, MN 553377822
Phone: (952) 224-8990
Fax: (952) 224-8991
Type: Location
22426, Saint Francis Boulevard, Oak Grove, Anoka County, Minnesota, 55303, United States
ANOKA, MN 553039670
Phone: (763) 753-7310
Fax: (763) 753-6529
Type: Mailing
Bass Lake Rd, Boone Avenue North, New Hope, Hennepin County, Minnesota, 55428, United States
NEW HOPE, MN 554283019
Phone: (763) 225-4052
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110502000354 | I | Clinical Psychologist | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55439)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| Clinical Social Worker | MN | |
| Marriage And Family Therapist | MN | |
| Clinical Social Worker | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.