ANDREW WILLIAM GODDARD (NPI# 1346294725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346294725 |
| Entity Type | Individual |
| Full Name | ANDREW WILLIAM GODDARD |
| Credential | M.D. |
| Practice Address |
2210 E Illinois Ave Ste 401 Fresno CA 93701-2184 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5593200580 |
| Practice Fax Number | 5593200582 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
C132659 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
C132659 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200355710 | 05 |
| Street Address |
2210 E ILLINOIS AVE STE 401 |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528350 | John T Tran | Psychiatry & Neurology | 2210 E Illinois Ave Ste 401, Fresno, CA 93701 | 2005-06-15 |
| 1245682467 | Betty Liao | Psychologist | 2210 E Illinois Ave Ste 401, Fresno, CA 93701-2184 | 2016-07-12 |
| 1629203104 | Patrick William Shea | Psychiatry & Neurology | 2210 E Illinois Ave Ste 401, Fresno, CA 93701-2184 | 2009-05-27 |
| 1679676506 | Craig C. Campbell | Psychiatry & Neurology | 2210 E Illinois Ave Ste 401, Fresno, CA 93701-2184 | 2006-09-06 |
| 1174632095 | Karen J Kraus | Psychiatry & Neurology | 2210 E Illinois Ave Ste 401, Fresno, CA 93701-2184 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380932 | Saoda Shuara | Psychiatry & Neurology | 7780 N Fresno St Ste 105, Fresno, CA 93720-2413 | 2015-07-08 |
| 1356759088 | George P. Rowell, M.d., Inc. | Psychiatry & Neurology | 1330 L St Ste E, Fresno, CA 93721-1717 | 2014-07-25 |
| 1104136803 | Melinda Jane Tyler | Psychiatry & Neurology | Uplift Family Services, 6051 N Fresno Street, Suite 201, Fresno, CA 93710 | 2010-10-14 |
| 1063698884 | Lana P. Williams | Psychiatry & Neurology | 1322 E. Shaw Ave., 410, Fresno, CA 93710-7904 | 2008-01-10 |
| 1437347721 | The Fresno Center | Psychiatry & Neurology | 4855 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2007-10-11 |
| 1497965073 | Glenn Kikuya Ikawa | Psychiatry & Neurology | 575 E Locust Ave Ste 311, Fresno, CA 93720-2928 | 2007-05-23 |
| 1164634572 | George Pearson Rowell | Psychiatry & Neurology | 1330 L St, Suite E, Fresno, CA 93721-1717 | 2007-05-06 |
| 1083739767 | Paul J Markovitz | Psychiatry & Neurology | 7409 N Cedar Avenue, Suite 101, Fresno, CA 93720 | 2007-03-20 |
| 1003940214 | Aria Renee Torii | Psychiatry & Neurology | Fresno County Department of Mental Health Services, 4441 E Kings Canyon Rd, Fresno, CA 93703 | 2007-03-16 |
| 1164558615 | Sam A Castro | Psychiatry & Neurology | 333 W Shaw #7, Fresno, CA 93704-2657 | 2007-02-26 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on ANDREW WILLIAM GODDARD.
| 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.