Gohman Psychological Services

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

7398566 Issued in VA

Legal business name

GOHMAN PSYCHOLOGICAL SERVICES

Practice address

8811 Sudley Rd
#204
Manassas, VA 20110-4750

Phone

(703) 798-2884

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Jeannine A Gohman, PSYD

Title

Clinical Psychologist

Phone

(703) 798-2884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1124287941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 SUDLEY RD",
            "address_2": "#204",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104750",
            "telephone_number": "703-798-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 SUDLEY RD",
            "address_2": "#204",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104750",
            "telephone_number": "703-798-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOHMAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "GOHMAN",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-798-2884",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "7398566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Manassas, VA
• Providers in Manassas, VA by specialty
• Clinical Child & Adolescent Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.