THE GOODE DOCTOR LLC (NPI# 1245879402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245879402 |
| Entity Type | Organization |
| Organization Name | THE GOODE DOCTOR LLC |
| Practice Address |
920 Providence Rd Ste 407 Towson MD 21286-2979 |
| Mailing Address |
602 Squires Rd Towson MD 21286-2958 |
| Practice Telephone | 8778935480 |
| Practice Fax Number | 8778935480 |
| Mailing Telephone | 4434384142 |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |
| Authorized Official Name | DAVID GOODE-CTOSS (PSYCHOLOGIST/CEO) |
| Authorized Official Telephone | 8778935480 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PSYCHOLOGY | 1215203716 | 01 |
| Other Name | Type Code |
|---|---|
| East Towson Psychological Services | Doing Business As Name - Organization |
| Street Address |
920 PROVIDENCE RD STE 407 |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-2979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215203716 | David T Goode-cross | Psychologist | 920 Providence Rd Ste 407, Towson, MD 21286-2979 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1275950677 | Linda Washington | Psychologist | 1106 Valewood Rd, Towson, MD 21286-1653 | 2014-03-24 |
| 1215203716 | David T Goode-cross | Psychologist | 920 Providence Rd Ste 407, Towson, MD 21286-2979 | 2012-03-28 |
| 1134398175 | Heather Lyons | Psychologist | 1122 Kenilworth Dr Ste 416, Towson, MD 21204 | 2008-02-25 |
| 1194722363 | Barbara Jean Thompson | Psychologist | 312 W Chesapeake Ave, Towson, MD 21204-4405 | 2005-07-03 |
| 1841798360 | Maria Ann Wydra | Psychologist | 312 W Chesapeake Ave, Towson, MD 21204-4410 | 2018-01-30 |
| 1366891806 | Jaime M Fenton | Psychologist | 312 W Chesapeake Ave, Second Floor, Towson, MD 21204-4410 | 2016-06-06 |
| 1457736530 | Daniel Isenberg | Psychologist | 405 Allegheny Ave, Towson, MD 21204-4256 | 2015-07-30 |
| 1174823157 | Kimberly Wehner Zahm | Psychologist | 312 W Chesapeake Ave, 2nd Floor East, Towson, MD 21204-4410 | 2010-10-25 |
| 1356534903 | Brett Andrew Davis | Psychologist | 304 E Pennsylvania Ave, Towson, MD 21286-5313 | 2007-08-27 |
| Find all providers in TOWSON | ||||
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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.