DR. JAMES KENNETH GOODLAD III (NPI# 1023460128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023460128 |
Entity Type | Individual |
Full Name | DR. JAMES KENNETH GOODLAD III |
Credential | PHD |
Practice Address |
5409 Maryland Way Suite 202 Brentwood TN 37027-5037 |
Practice Telephone | 6153739955 |
Practice Fax Number | 6153732001 |
Mailing Telephone | 6153739955 |
Mailing Fax Number | 6153732001 |
Enumeration Date | 2016-07-13 |
Last Update Date | 2016-10-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3373 | TN | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1989 | AL | Behavioral Health & Social Service Providers |
Street Address |
5409 MARYLAND WAY SUITE 202 |
City | BRENTWOOD |
State | TN |
Zip Code | 37027-5037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659383412 | Ken Robertson | Dentist | 5409 Maryland Way, Suite 210, Brentwood, TN 37027-5037 | 2006-08-12 |
1497298806 | Jenny Matern | Marriage & Family Therapist | 5409 Maryland Way, Brentwood, TN 37027-5037 | 2016-12-02 |
1417404666 | Music City Peds: Developmental & Behavioral Medicine | Clinic/Center | 5409 Maryland Way, Suite 202, Brentwood, TN 37027-5037 | 2016-09-06 |
1932557345 | Southeast Psych Nashville, Pllc | Psychologist | 5409 Maryland Way, Suite 202, Brentwood, TN 37027-5037 | 2016-05-25 |
1295071736 | Caitlin Nicholl Rissler | Nurse Practitioner | 5409 Maryland Way, Suite 202, Brentwood, TN 37027-5037 | 2013-01-01 |
1144413451 | Lauren Hasty King | Psychologist | 5409 Maryland Way, Suite 202, Brentwood, TN 37027-5037 | 2007-08-20 |
1306943832 | David Martin Vanderpool | Surgery | 5409 Maryland Way, Ste 119, Brentwood, TN 37027 | 2006-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
Find all providers in zip 37027 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629551932 | Amy Monn | Psychologist | 1604 Westgate Cir Ste 220, Brentwood, TN 37027-8580 | 2018-09-12 |
1801983820 | James Guy Wellborn | Psychologist | 311 Franklin Rd, Suite 299, Brentwood, TN 37027-5213 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
1407269384 | Arianna Boddy | Psychologist | 150 Fox Rd, Knoxville, TN 37922-3303 | 2014-06-09 |
1205265410 | Daniel J Williams, Psyd, LLC | Psychologist | 108 West Summit Hill Dr., Knoxville, TN 37902 | 2013-11-07 |
1881940237 | Richard Pitcock | Psychologist | 1417 Randy Rd, Ashland City, TN 37015-2815 | 2012-08-02 |
1053501932 | Deborah Anne Vanslyke | Psychologist | Vanderbilt Children's Hospital, 2200 Children's Way, Nashville, TN 37232-0001 | 2007-07-27 |
1245392760 | Barbara L Taylor | Psychologist | 2341 Jones Bend Road, Louisville, TN 37777 | 2006-12-14 |
1508967423 | Hughes Mcdaniel & Associates Plc | Psychologist | 131 Sanders Ferry Rd, # 203, Hendersonville, TN 37075-3662 | 2006-09-25 |
1679527287 | Susan Cohn Koller | Psychologist | 305 Westfield Dr, Knoxville, TN 37919-4824 | 2006-05-19 |
1205443736 | Jessica Schwartzman | Psychologist | 1500 21st Ave S Ste 2200, Nashville, TN 37212-3137 | 2020-09-29 |
1427570647 | Liliana Wagner | Psychologist | 2200 Childrens Way, Nashville, TN 37232-3727 | 2017-07-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.