Active NPI
Patricia Ann Goslee, ED.D.
- Community/Behavioral Health Agency
- Hainesport, NJ
National Provider Identifier
1245473743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 174400000X
- Practice address
- 1289 Route 38
Hainesport, NJ 08036-2730 - Phone
- (609) 267-5656
- Fax
- (609) 267-8892
- NPI assigned
- Apr 14, 2009
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 174400000X | NJ | Primary |
Addresses
Primary practice location
1289 Route 38
Hainesport, NJ 08036-2730
Mailing address
1289 Route 38
Hainesport, NJ 08036-2730
Phone (609) 267-5656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Other | NJ | NATIONAL PROVIDER IDENTIFER (NPI) |
| 174400000X | Other | NJ | NATIONAL PROVIDER IDENTIFER (NPI) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174400000X | NJ | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1245473743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 ROUTE 38",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362730",
"telephone_number": "609-267-5656",
"fax_number": "609-267-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1289 ROUTE 38",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362730",
"telephone_number": "609-267-5656",
"fax_number": "609-267-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSLEE",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "174400000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFER (NPI)",
"identifier": "101YM0800X",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFER (NPI)",
"identifier": "174400000X",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hainesport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.