DR. GARY NEAL GOODMAN (NPI# 1316930381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316930381 |
| Entity Type | Individual |
| Full Name | DR. GARY NEAL GOODMAN |
| Credential | PH.D. |
| Practice Address |
11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 |
| Mailing Address |
11110 N Tatum Blvd 103 Phoenix AZ 85028-1607 |
| Practice Telephone | 6024320800 |
| Practice Fax Number | 6235160637 |
| Mailing Telephone | 6024320800 |
| Mailing Fax Number | 6024430401 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3196 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 451352 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477574978 | Gary Sean Goodman | Pharmacist | 6000 Quiet Glow Ave, Las Vegas, NV 89139-6422 | 2006-07-21 |
| 1982669024 | Gary R Goodman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 22250 Providence Dr Ste 606, Southfield, MI 48075-6214 | 2006-04-20 |
| 1629353735 | Gary Goodman | Case Manager/Care Coordinator | 64 Industrial Park Rd, Plymouth, MA 02360-4881 | 2011-10-20 |
| 1992988869 | Gary H Goodman | Dentist | 3455 Main St, Springfield, MA 01107-1147 | 2007-12-13 |
| 1255402251 | Gary E. Goodman | Internal Medicine | 1221 Madison St, Seattle, WA 98104-3588 | 2006-11-13 |
| 1588758551 | Gary Goodman | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-03 |
| 1740232172 | Gary A Goodman | Emergency Medicine | 1401 W Seminole Blvd, Central Florida Regional Hospital, Dept of Emerg. Med., Sanford, FL 32771-6743 | 2006-05-16 |
| 1972581841 | Gary R Goodman | Urology | 3520 E 15th St, Suite 200, Loveland, CO 80538-8938 | 2006-01-02 |
| 1598758617 | Gary Richard Goodman | Podiatrist | 2350 Sunset Point Rd, Suite A, Clearwater, FL 33765-1443 | 2005-08-24 |
| 1811999485 | Gary M Goodman | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2005-08-12 |
| Street Address |
11110 N TATUM BLVD SUITE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679566624 | Geriatric and Family Mental Health Services, LLC | Psychologist | 11110 N Tatum Blvd, 103, Phoenix, AZ 85028-1607 | 2005-08-24 |
| 1588897037 | Paradise Valley Center for Cosmetic and Comprehensive Dentistry, Pllc | Dentist | 11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607 | 2009-09-01 |
| 1902093164 | Risa E. Newell, Ph.d., L.L.C. | Psychologist | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | 2007-10-01 |
| 1104034909 | Tatum Blvd Dentistry, LLC | Dentist | 11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607 | 2007-05-18 |
| 1598986630 | Mi Le Tran Md PC | Psychiatry & Neurology | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | 2007-05-02 |
| 1871648543 | Mark Abzug | Dentist | 11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607 | 2007-01-24 |
| 1629135389 | Mi Le Tran | Psychiatry & Neurology | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | 2007-01-02 |
| 1699790030 | Joan Marie Polansky | Psychologist | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | 2006-07-13 |
| 1801852991 | Larisa E Newell | Psychologist | 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1407319486 | Joan Ledvina Parr | Psychologist | 13 Glenbrook Dr, Phoenix, MD 21131-2007 | 2019-04-08 |
| 1720591365 | Think Psychological and Consulting Services Pllc | Psychologist | 2632 S 83rd Ave Ste 100-481, Phoenix, AZ 85043-7206 | 2017-11-06 |
| 1558880682 | Christine Breuer | Psychologist | 21630 N 19th Ave Ste B17, Phoenix, AZ 85027-2715 | 2017-09-09 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1225584030 | Sojourner Health | Psychologist | 2224 E Fillmore St, Phoenix, AZ 85006-3815 | 2016-08-31 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1982097614 | T. M. Barratt | Psychologist | 3550 N. Central Ave. Suite 1407, Phoenix, AZ 85012 | 2015-03-04 |
| 1003204827 | Melissa Ann Lake | Psychologist | 4552 W Cottontail Rd, Phoenix, AZ 85086-1449 | 2014-12-31 |
| 1699196915 | Deborah Gladding | Psychologist | 36625 N 18th St, Phoenix, AZ 85086-5715 | 2014-01-05 |
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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.