ANDREA GODDARD


Address: 720 Aliceanna Street, Baltimore, MD 21202
Phone: 4339237533

ANDREA GODDARD (NPI# 1861845224) 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) 1861845224
Entity Type Individual
Full Name ANDREA GODDARD
Credential PSY.D
Practice Address 720 Aliceanna Street
Baltimore
MD 21202
Mailing Address 1916 17th St Nw
Unit 210
Washington, Dc
DC 20009
Practice Telephone 4339237533
Mailing Telephone 7736777960
Enumeration Date 2016-07-20
Last Update Date 2016-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Providers ANDREA GODDARD

NPI Name Taxonomy Address Enumeration
1669606976 Andrea Terese Goddard Counselor 707 W 7th Ave Ste 260, Attn: Andrea, Spokane, WA 99204-2821 2009-05-14
1578811618 Andrea Lynn Goddard Physical Therapist 303 N. Hurstbourne Parkway, Suite 200, Lousiville, KY 40222 2012-08-21

Office Location

Street Address 720 ALICEANNA STREET
City BALTIMORE
State MD
Zip Code 21202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1700430246 Ronie George Nurse Practitioner 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 2019-08-01
1750940185 Katherine Wachter Mullins Social Worker 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 2019-06-10
1720647175 Ivelysse Claudio Cortes Speech-Language Pathologist Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 2019-06-10
1497314157 Debera Marie Reznitsky Speech-Language Pathologist 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 2019-06-06
1154989952 Zirka Oksanna Hanas Speech-Language Pathologist 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 2019-06-05
1750946224 Lareneque Bartholomew Counselor 110 East Lexington Street, Suite 200, Baltimore, MD 21202 2019-05-09
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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
1568020543 Virginia Samford Hornbeck Psychologist 1400 W Cold Spring Ln, Baltimore, MD 21209-4904 2019-06-04
1427615822 Elana Rachel Kagan Psychologist 1750 East Fairmont Ave, Baltimore, MD 21231 2019-05-22
1891218947 Sahar Moise Psychologist 1708 West Rogers Avenue, Baltimore, MD 21209-4596 2017-07-20
1447787734 Brittany Renee Patterson Psychologist 737 West Lombard St., Baltimore, MD 21201-2120 2017-05-17
1164870614 Shauna Lynne Psychologist 1750 E Fairmount Ave Fl 4, Baltimore, MD 21231-1534 2016-05-25
1073985081 Denise Bike Psychologist 600 Wyndhurst Ave Ste 200-a, Baltimore, MD 21210-2489 2015-10-29
1982087003 Rachel Cymber Lafleur Psychologist 711 W 40th St # 153-363, Baltimore, MD 21211-2120 2015-07-07
1346639713 Eboka Mullins Psychologist 419 W Redwood St Ste 570, Baltimore, MD 21201-7023 2015-01-22
1306251202 Clare Gibson Psychologist 2240 East Baltimore St, Baltimore, MD 21231 2014-06-30
1568877058 Rebecca Silver Psychologist 5724 Falls Rd, Baltimore, MD 21209-3708 2014-06-24
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Competitor

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City BALTIMORE
Zip Code 21202

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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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