Active NPI
Debra K. Goran, PHD
- Clinical Psychologist
- Florence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4606
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1570 | KY | MD | Professional Counselor |
| 129164 | KY | MD | Clinical Psychologist |
| 4606 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Psychological Services, PLLC | Clinical | Current | Accepting new patients |
| Looking Forward Mental Health Center | Past | Accepting new patients | |
| Psychological Transitions, Inc | Clinical | Past | 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.
-
- Clinical Psychologist
- Florence, KY
- NPI 1578655650
-
- Marriage & Family Therapist
- Cleveland, OH
- NPI 1457579005
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023049723
-
- Clinical Psychologist
- Port Clinton, OH
- NPI 1902914278
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.