DR. ANISA N GOFORTH (NPI# 1730585217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730585217 |
| Entity Type | Individual |
| Full Name | DR. ANISA N GOFORTH |
| Credential | PHD, NCSP |
| Practice Address |
1444 Mansfield Ave Missoula MT 59812-0001 |
| Mailing Address |
619 Howell St Missoula MT 59802-2534 |
| Practice Telephone | 4064936471 |
| Mailing Telephone | 5035629379 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1482 | MT | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
87674 | MT | Behavioral Health & Social Service Providers |
| Street Address |
1444 MANSFIELD AVE |
| City | MISSOULA |
| State | MT |
| Zip Code | 59812-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629127063 | Christine Fiore | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2007-01-08 |
| 1053873703 | Laura Kirsch | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2019-04-02 |
| 1255679411 | Robert Stuart Hall | Clinical Neuropsychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2013-01-23 |
| 1710251236 | Paul Silverman | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679094171 | Conor Morrissey Marlatt | Specialist/Technologist | 32 Campus Dr., Missoula, MT 59812 | 2017-07-05 |
| 1932458015 | Nils Jackson | Physical Therapist | 32 Campus Drive, Missoula, MT 59812 | 2012-09-05 |
| 1659520138 | Robert B Curry | Student in an Organized Health Care Education/Training Program | 634 Eddy St, Missoula, MT 59812 | 2008-09-09 |
| 1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
| 1841841061 | Lonnie Murphy | Pharmacist | 32 Campus Drive, Skaggs Building 317, Missoula, MT 59812 | 2019-09-28 |
| 1932686839 | Tessa Gorchesky | Specialist/Technologist | 32 Campus Drive, Missoula, MT 59812 | 2018-07-24 |
| 1326329046 | Colleen Marie Ferriter | Dentist | 634 Eddy Ave, Missoula, MT 59812 | 2011-09-08 |
| 1336251396 | Caryn C Guse | Speech-Language Pathologist | 634 Eddy Ave, Chc 009 Montech, Missoula, MT 59812 | 2006-08-31 |
| 1487265302 | Kelli Wrolstad | Physical Therapist | 129 Skaggs Building, Missoula, MT 59812-0001 | 2020-08-13 |
| 1386262483 | Karly Niemann | Specialist/Technologist | Skaggs Bldg 32 Campus Dr, Missoula, MT 59812-0001 | 2020-07-06 |
| Find all providers in zip 59812 | ||||
| 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 |
|---|---|---|---|---|
| 1790341998 | Laura Lopach, LLC | Psychologist | 118 W Sussex Ave, Missoula, MT 59801-6845 | 2019-05-13 |
| 1598234239 | Edward Lesofski | Psychologist | 400 Expressway Ste D, Missoula, MT 59808-1536 | 2018-11-23 |
| 1265760797 | Melissa Neff | Psychologist | 3700 S Russell St Ste B110, Missoula, MT 59801 | 2009-11-20 |
| 1659523843 | Casey Nicole Ruggiero | Psychologist | 210 N Higgins Ave # 324, Missoula, MT 59802-4462 | 2008-10-21 |
| 1972623411 | Timothy D. Berry | Psychologist | 2831 Fort Missoula Rd Ste 106, Missoula, MT 59804-7427 | 2007-03-29 |
| 1558414920 | Michael Joseph Scolatti | Psychologist | 49 Darlene Dr, Missoula, MT 59801-1312 | 2007-01-19 |
| 1669529921 | Jennifer Hope Leight | Psychologist | 1400 Council Way, Missoula, MT 59808-1206 | 2007-01-05 |
| 1235298837 | Coe Ann Dolven | Psychologist | 101 East Broadway, Suite 310, Missoula, MT 59802 | 2006-12-08 |
| 1891875464 | Kevin Brian Dohr | Psychologist | 128 S 6th St W, Missoula, MT 59801-4031 | 2006-10-17 |
| 1699862672 | J. William Cook | Psychologist | T-214 Fort Missoula, Missoula, MT 59804-7209 | 2006-10-09 |
| Find all providers in MISSOULA | ||||
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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.