Individual provider Active NPI

Amy Elizabeth Gooding, PSY. D.

  • Clinical Psychologist
  • Bel Air, MD
National Provider Identifier
1053692970
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04897 Issued in MD
Practice address
16A Bel Air South Pkwy Ste 319
Bel Air, MD 21015-6038
Phone
(443) 203-8789
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04897 MD Primary

Addresses

Primary practice location

16A Bel Air South Pkwy Ste 319
Bel Air, MD 21015-6038

Mailing address

16A Bel Air South Pkwy Ste 319
Bel Air, MD 21015-6038
Phone (443) 203-8789

Other practice location 1

101 Schilling Rd Ste 40
Hunt Valley, MD 21031-1104
Phone (410) 427-3900

Other practice location 2

5341 Virginia Way
Brentwood, TN 37027-7531
Phone (443) 203-8789

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gooding Behavioral Health LLC Clinical CurrentSince Mar 12, 2024 Accepting new patients

Locations

16A Bel Air South Pkwy
Ste 319
Bel Air, MD 21015
Phone (443) 203-8789

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1053692970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16A BEL AIR SOUTH PKWY STE 319",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156038",
            "telephone_number": "443-203-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16A BEL AIR SOUTH PKWY STE 319",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156038",
            "telephone_number": "443-203-8789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Schilling Rd Ste 40",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210311104",
            "country_code": "US",
            "telephone_number": "410-427-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5341 Virginia Way",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277531",
            "country_code": "US",
            "telephone_number": "443-203-8789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODING",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.