Tiffany Godwin PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TIFFANY GODWIN PHD

Doing business as

ReNEWed Psychological and Consultation Services

Practice address

15278 W Bell Rd Ste 102
Surprise, AZ 85374-3100

Phone

(850) 739-2332

NPI assigned

Aug 16, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tiffany Nicole Godwin, PSYCHOLOGIST

Title

Owner/Psychologist

Phone

(602) 799-2479

Specialties & licenses 1

Addresses

Other names 1

• ReNEWed Psychological and Consultation Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1003582552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 W WADDELL RD STE 102-1073",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15278 W BELL RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743100",
            "telephone_number": "850-739-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY GODWIN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-799-2479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReNEWed Psychological and Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.