Active NPI
Amy Elizabeth Gooding, PSY. D.
- Clinical Psychologist
- Bel Air, MD
National Provider Identifier
1053692970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04897
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gooding Behavioral Health LLC | Clinical | Current | 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.
-
- Clinical Psychologist
- Bel Air, MD
- NPI 1821855875
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.