NPIMap

Organization Active NPI

Good Harbor Therapy, LLC

  • Clinical Psychologist
  • Traverse City, MI
National Provider Identifier
1134820897
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GOOD HARBOR THERAPY, LLC
Practice address
1015 Noteware Dr Unit C
Traverse City, MI 49686-8109
Phone
(231) 303-1322
NPI assigned
Mar 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Kayla Wojda, PSYDNPI 1023543402
Title
Owner
Phone
(231) 303-1322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1015 Noteware Dr Unit C
Traverse City, MI 49686-8109

Mailing address

1015 Noteware Dr Unit C
Traverse City, MI 49686-8109
Phone (231) 303-1322

National Provider Directory

National Provider Directory

Locations

1015 Noteware Dr
Ste C
Traverse City, MI 49686
Phone (231) 303-1322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1134820897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NOTEWARE DR UNIT C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868109",
            "telephone_number": "231-303-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NOTEWARE DR UNIT C",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868109",
            "telephone_number": "231-303-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HARBOR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "WOJDA",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-303-1322",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.