James Kenneth Goodlad III, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

3373 Issued in TN

Practice address

5409 Maryland Way
Suite 202
Brentwood, TN 37027-5037

Phone

(615) 373-9955

Fax

(615) 373-2001

NPI assigned

Jul 13, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1023460128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY",
            "address_2": "SUITE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275037",
            "telephone_number": "615-373-9955",
            "fax_number": "615-373-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 MARYLAND WAY",
            "address_2": "SUITE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275037",
            "telephone_number": "615-373-9955",
            "fax_number": "615-373-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLAD",
        "first_name": "JAMES",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1989",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "3373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Goldman
• Emily Gomez-Rodriguez
• Natalie Gomez, MSN, FNP-BC
• Aimee Gonzalez
• Arianna Gonzalez
• Dornisha Darra Goodrich
• Lakesha Monique Goodwin, AGPCNP-C
• Cameron L Gordon, PH.D.
• Georgina Olivia Gordon
• Richard William Gorman, LPC-MHSP (TEMP)

• Clinical Child & Adolescent Psychologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.