Organization Active NPI

Laura G Goulden PHD LLC

  • Clinical Psychologist
  • Mobile, AL
National Provider Identifier
1194486639
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAURA G GOULDEN PHD LLC
Practice address
2450 Old Shell Rd
Mobile, AL 36607-3020
Phone
(251) 476-9011
NPI assigned
Jan 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Laura G Goulden, PHD
Title
Psychologist
Phone
(251) 476-9011

Specialties & licenses 1

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

Addresses

Primary practice location

2450 Old Shell Rd
Mobile, AL 36607-3020

Mailing address

2450 Old Shell Rd
Mobile, AL 36607-3020
Phone (251) 476-9011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1194486639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-476-9011",
            "fax_number": "251-300-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-476-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA G GOULDEN PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "GOULDEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "251-476-9011",
        "authorized_official_credential": "PHD"
    },
    "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 Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.