Good Shepherd Institute, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

547 Issued in KY

Legal business name

GOOD SHEPHERD INSTITUTE, INC.

Practice address

7103 Turfway Rd
Suite 101
Florence, KY 41042-2094

Phone

(859) 371-2800

Fax

(859) 371-2823

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Richard R. Meyer, PSY.D.

Title

Clinical Director

Phone

(859) 371-2800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1104088038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 TURFWAY RD",
            "address_2": "SUITE 101",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422094",
            "telephone_number": "859-371-2800",
            "fax_number": "859-371-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 TURFWAY RD",
            "address_2": "SUITE 101",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422094",
            "telephone_number": "859-371-2800",
            "fax_number": "859-371-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "859-371-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0819789",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900063200",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9402",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Goderwis, PHARMD
• Joanna Goldie
• Philip Mark Goldman, M.D.
• Stephen Louis Goldstein, P.T.
• Gina Goldston, BS
• Jessica Adelyn Goodridge
• Debra K. Goran, PHD
• Karen Gordon, BA
• Karen Nicole Gorlewski, PTA, ATC
• Joseph John Gormley III, DMD

• Clinical Psychologist in Florence, KY
• Providers in Florence, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.