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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | VALUE OPTIONS | 160306 | 01 |
TX | BCBS NUMBER | 0003LJ | 01 |
TX | MAGELLAN ID NUMBER | 97034000 | 01 |
TX | 040973202 | 05 |
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 |
Street Address |
3305 NORTHLAND DR STE 509 |
City | AUSTIN |
State | TX |
Zip Code | 78731-5039 |
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 |
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 |
Find all providers in zip 78731 |
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 |
---|---|---|---|---|
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 |
Find all providers in AUSTIN |
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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.