Active NPI
Laura Goulden, PH.D.
- Clinical Psychologist
- Mobile, AL
National Provider Identifier
1215081914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 984
- Practice address
- 2450A Old Shell Rd
Mobile, AL 36607-3020 - Phone
- (251) 476-9011
- Fax
- (251) 300-8578
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 984 | AL | Primary |
Addresses
Primary practice location
2450A Old Shell Rd
Mobile, AL 36607-3020
Mailing address
2450A Old Shell Rd
Mobile, AL 36607-3020
Phone (251) 476-9011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden and Epker, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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
- Mobile, AL
- NPI 1205040045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1215081914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450A 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": "2450A OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073020",
"telephone_number": "251-476-9011",
"fax_number": "251-300-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULDEN",
"first_name": "LAURA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "984",
"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 9, 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.