Individual provider Active NPI

Ching-Yen Godwin, PH.D., NCSP

  • Psychologist
  • Littleton, CO
National Provider Identifier
1235462318
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3384 Issued in CO
Practice address
26 W Dry Creek Cir Ste 180
Littleton, CO 80120-4475
Phone
(720) 903-0190
Fax
(303) 794-7811
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0344933 CO
Psychologist 103T00000X 3384 CO Primary

Addresses

Primary practice location

26 W Dry Creek Cir Ste 180
Littleton, CO 80120-4475

Mailing address

26 W Dry Creek Cir Ste 180
Littleton, CO 80120-4475
Phone (720) 903-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000224 CO Practitioner - Psychologist Billing Independently 5597895516 Practice locations: Littleton, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0344933COMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Godwin LLC CurrentSince Feb 24, 2010 Accepting new patients
Susan G. Boley, PH.D. P.C. CurrentSince Sep 12, 2021 Accepting new patients

Locations

11 W Dry Creek Cir
Ste 140
Littleton, CO 80120
Phone (303) 794-7761

26 W Dry Creek Cir
Ste 180
Littleton, CO 80120
Phone (303) 794-7761

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1235462318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR STE 180",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204475",
            "telephone_number": "720-903-0190",
            "fax_number": "303-794-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR STE 180",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204475",
            "telephone_number": "720-903-0190",
            "fax_number": "303-794-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "CHING-YEN",
        "name_prefix": "Dr.",
        "credential": "PH.D., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "0344933",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.