JILL ANNE GOODGAME (NPI# 1780740654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780740654 |
| Entity Type | Individual |
| Full Name | JILL ANNE GOODGAME |
| Credential | PSY.D |
| Practice Address |
Bldg 8156 Commanche Blvd Urlas Kaserne Ansbach BAVARIA 91522 DE |
| Mailing Address |
Cmr 454 Box 1878 Apo AE 09250-0019 |
| Practice Telephone | 3145903606 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4021 San Pedro Dr, Fort Wayne, IN 468155750 | 5599993977 |
| Street Address |
BLDG 8156 COMMANCHE BLVD URLAS KASERNE |
| City | ANSBACH |
| State | BAVARIA |
| Zip Code | 91522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324970 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Ansbach Army Base, Ansbach Urlas Mall Bldg 8134, Ansbach Bavaria, MIDDLE FRANCONIA 91522 | 2020-10-22 |
| 1417426461 | Julius Leo Hardi | Physician Assistant | 8156 Comanche Blvd, Urlas, ANSBACH 91522 | 2018-11-20 |
| 1083181861 | Jenna Kristine Stewart | Dental Hygienist | Ansbach Klinikum Escherichstrasse 1, Ansbach, GERMANY 91522 | 2018-10-30 |
| 1326348863 | Dawn Charisse Ashley | Social Worker | Wurtzburger Landstr 24, Ansbach, BAVARIA 91522 | 2010-11-01 |
| 1184827289 | Maria Irene Cristobal Franzuela-santiago | Registered Nurse | Bldg 5810, Katterbach Kaserne, Ansbach, BAVARIA 91522 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841381332 | Richard M Petersen | Counselor | Usameddac Wuerzburg, Ansbach Middle High School, Ansbach, GERMANY 09177 | 2006-09-27 |
| 1457339129 | Daisy Leigh Boyd | Social Worker | Cmr 463 Box 241, Ansbach, BAVARIA 09177 | 2006-01-04 |
| 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] |
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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.