DR. JOHN PHILLIP GODFREY


Address: 3305 Northland Dr Ste 509, Austin, TX 78731-5039
Phone: 7372025789

DR. JOHN PHILLIP GODFREY (NPI# 1023029170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023029170
Entity Type Individual
Full Name DR. JOHN PHILLIP GODFREY
Credential PH.D.
Practice Address 3305 Northland Dr Ste 509
Austin
TX 78731-5039
Mailing Address Po Box 152680
Austin
TX 78715-2680
Practice Telephone 7372025789
Practice Fax Number 5122921144
Mailing Telephone 5122921122
Mailing Fax Number 5122921144
Enumeration Date 2006-08-11
Last Update Date 2020-06-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 25101 TX Behavioral Health & Social Service Providers
N 103TA0700X Psychologist
Specialization: Adult Development & Aging
25101 TX Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
25101 TX Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
25101 TX Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
25101 TX Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
25101 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX VALUE OPTIONS 160306 01
TX BCBS NUMBER 0003LJ 01
TX MAGELLAN ID NUMBER 97034000 01
TX 040973202 05

Other Providers JOHN GODFREY

NPI Name Taxonomy Address Enumeration
1700167806 John Glen Godfrey Pharmacist 15986 State Route 56, Laurelville, OH 43135 2011-09-01
1548559438 John Dahl Godfrey Physical Therapy Assistant 6049 N 1st St Ste 101, Fresno, CA 93710-5449 2011-03-31
1154477396 John C Godfrey Chiropractor 509 S 4th Ave, Brighton, CO 80601-3102 2007-01-27
1053826644 John Christopher Godfrey Behavior Technician 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 2017-12-05
1821224353 John Godfrey Counselor 10005 E Osborn Rd, Scottsdale, AZ 85256-4019 2009-06-10
1457506149 John Joseph Godfrey Acupuncturist 2720 Nw 6th St, Suite 301, Gainesville, FL 32609-2994 2008-11-21
1255581971 John Edger Godfrey Case Manager/Care Coordinator 5905 Forest Pl, Suite 100, Little Rock, AR 72207-5244 2008-09-30
1770704850 John Godfrey Specialist 1 Medical Center Blvd, Prof. Office Bldg 1 Suite 400, Upland, PA 19013 2007-05-02
1447316385 John A Godfrey Optometrist 804 Broad Ripple Ave, Indianapolis, IN 46220-1961 2006-12-28
1992876262 John Terry Godfrey Chiropractor 1146 N Cass St, Ste C, Wabash, IN 46992-1082 2006-11-10

Office Location

Street Address 3305 NORTHLAND DR STE 509
City AUSTIN
State TX
Zip Code 78731-5039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801372859 Corporate Training and Seminar Services Clinic/Center 3305 Northland Dr Ste 509, Austin, TX 78731-5039 2018-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033710892 Anew Era Tms & Psychiatry of Texas, Pa Psychiatry & Neurology 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 2020-11-06
1962016519 Jennie Rose Posey Clinical Nurse Specialist 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 2020-09-01
1437772373 Sharon Polackal Student in an Organized Health Care Education/Training Program Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 2020-05-27
1699309773 Modern Vision Group, Pllc Optometrist 3908 Far W Blvd, Austin, TX 78731 2020-02-27
1235699562 Catherine Kerrigan Social Worker 7514 N Mopac Expy, Suite 100, Austin, TX 78731 2019-03-22
1912474651 Austin Dental Spa, Pllc Dentist 3305 Northland Ste 515, Austin, TX 78731 2018-10-31
1982110938 Lindsey Sheppard Dietitian, Registered 7000 N Mopac Expy, Suite 200, Austin, TX 78731 2017-12-28
1144746066 Sarah Cotton Occupational Therapist 3520 Executive Center Drive, Suite 128, Austin, TX 78731 2017-08-22
1699299792 Avoia Mia Tapia Physical Therapist 3721 Executive Center Drive, Suite 201, Austin, TX 78731 2017-07-31
1265889745 Home Focus Aba Behavioral Analyst 6804 Capital of Tx Hwy N 412, Austin, TX 78731 2016-05-16
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619503497 Kim Praderas Pllc Psychologist 3301 Northland Dr Ste 320, Austin, TX 78731-4952 2020-03-12
1427693928 The University of Texas At Austin Psychologist 100 W Dean Keeton St., Austin, TX 78712 2019-11-08
1528618774 Psicologia Psychology Pllc Psychologist 2500 W William Cannon Dr Ste 703, Austin, TX 78745-5252 2019-09-18
1023574761 Con Alma Therapy, Pllc Psychologist 2222 Western Trails Blvd Ste 107, Austin, TX 78745-1601 2019-02-19
1831660364 Neisha Hootman Psychologist 5555 N Lamar Blvd Ste E125, Austin, TX 78751-1052 2018-12-10
1952886962 Erika Jane Vivyan Psychologist 205 Wild Basin #3 Suite 202, Austin, TX 78746 2018-09-26
1346736741 Samuel Andrew Donaldson Psychologist 1308 Walnut Ave, Austin, TX 78702-1530 2018-07-09
1194214940 Emily B. Kerzin Psychologist 3006 Bee Caves Rd, Ste. D-310, Austin, TX 78746 2018-05-08
1740797596 Serena Messina Psychologist 1907 N Lamar Blvd Ste 230, Austin, TX 78705-4929 2018-01-02
1215446067 Dr. Barbara Lee Corff Pllc Psychologist 12343 Hymeadow Dr Ste 3b, Austin, TX 78750-1858 2017-09-25
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Competitor

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City AUSTIN
Zip Code 78731

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Dataset Information

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.

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