Dale Susan Gody, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071002314 Issued in IL

Practice address

3330 Old Glenview Rd
Suite 16
Wilmette, IL 60091-2963

Phone

(847) 251-7774

Fax

(847) 251-9897

NPI assigned

Jan 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003886938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD",
            "address_2": "SUITE 16",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-251-7774",
            "fax_number": "847-251-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD",
            "address_2": "SUITE 16",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-251-7774",
            "fax_number": "847-251-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODY",
        "first_name": "DALE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lyn Giewartowski, CCC-SLP
• Gay L. Girolami, PT, MS, PHD
• Sari Glazebrook
• Aleksandar Glisovic
• Gloria Levin and Associates
• Carol S Goldbaum, PH.D., LCSW
• Corrie Adina Goldberg, PH.D.
• Eugene M Goldberg, D.D.S.
• Edi Claire Golden-Gruber, LCSW
• Lisa Goldman, LCPC

• Clinical Psychologist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.