Individual provider Active NPI

Debra K. Goran, PHD

  • Clinical Psychologist
  • Florence, KY
National Provider Identifier
1083692446
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4606 Issued in OH
Practice address
6900 Houston Rd., BLDG. 500
Ste 11
Florence, KY 41042-4891
Phone
(859) 525-4911
Fax
(859) 525-6446
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 129164 KY
Clinical Psychologist 103TC0700X 4606 OH Primary

Addresses

Primary practice location

6900 Houston Rd., BLDG. 500
Ste 11
Florence, KY 41042-4891

Mailing address

6900 Houston Rd., BLDG. 500
Ste 11
Florence, KY 41042-4891
Phone (859) 525-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20100517000368 KY Practitioner - Clinical Psychologist 3375439672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1570KYMDProfessional Counselor
129164KYMDClinical Psychologist
4606OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Little Psychological Services, PLLC Clinical CurrentSince Apr 15, 2010 Accepting new patients
Looking Forward Mental Health Center Past Accepting new patients
Psychological Transitions, Inc Clinical PastSince Apr 1, 1995 Accepting new patients
MHSP,Inc Clinical Past Accepting new patients

Locations

162 Barnwood Dr
Edgewood, KY 41017
Phone (859) 331-4159

6900 Houston Rd
Bldg 500
Florence, KY 41042
Phone (859) 525-2020

6900 Houston Rd
Ste 11
Florence, KY 41042
Phone (859) 525-4911

211 Grandview Dr
#106
Ft Mitchell, KY 41017
Phone (859) 344-6409

Organizations & group practices 4

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1083692446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 HOUSTON RD., BLDG. 500",
            "address_2": "STE 11",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424891",
            "telephone_number": "859-525-4911",
            "fax_number": "859-525-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HOUSTON RD., BLDG. 500",
            "address_2": "STE 11",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424891",
            "telephone_number": "859-525-4911",
            "fax_number": "859-525-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAN",
        "first_name": "DEBRA",
        "middle_name": "K.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129164",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.