Traci A. Golbach, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2842 Issued in TN

Practice address

240 W. Tyrone Rd
Oak Ridge, TN 37830

Phone

(865) 481-6170

Fax

(865) 483-6697

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Ridgeview Psychiatric Hospital and Center, Inc.

  • Psychiatric Hospital
  • Oak Ridge, TN
  • NPI 1184659229
  Medicare reassignment NPD
• Mental Health Centers & Clinics of Tennessee

  • Mental Health Counselor
  • Bolivar, TN
  • NPI 1255442794
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1063605343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W TYRONE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306517",
            "telephone_number": "865-481-6170",
            "fax_number": "865-483-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W. TYRONE RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "37830",
            "telephone_number": "865-481-6170",
            "fax_number": "865-483-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBACH",
        "first_name": "TRACI",
        "middle_name": "A.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "2842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441848",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giving Home Health Care-Tennessee, LLC
• Gail Elizabeth Gnade, PH.D
• Cheryl Louise Goforth, APRN, BC
• Roger Neil Goggans, NP
• Ami Michelle Goins, FNP
• Beronica Renee Goodman
• Patricia Holly Gordon
• Elzbieta E Gornisiewicz, MD
• Venkata C Gourineni, MD
• Jeffrey John Grabenstein, M.D.

• Psychologist in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.