Active NPI
Olivia Lee Gooch, MA, CAS
- School Psychologist
- Baltimore, MD
National Provider Identifier
1013890607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 34640
- Practice address
- 200 E North Ave
Baltimore, MD 21202-5984 - Phone
- (443) 984-2000
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 34640 | MD | Primary |
Addresses
Primary practice location
200 E North Ave
Baltimore, MD 21202-5984
Mailing address
606 Old Westminster Pike
Westminster, MD 21157-6226
Phone (443) 605-9442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34640 | MD | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1013890607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 OLD WESTMINSTER PIKE",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576226",
"telephone_number": "443-605-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E NORTH AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212025984",
"telephone_number": "443-984-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOCH",
"first_name": "OLIVIA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MA, CAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "34640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.