Tamara N Godfrey, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY003307 Issued in GA

Practice address

111 N McDonough St
Decatur, GA 30030-3317

Phone

(678) 235-8767

Fax

(855) 740-3001

NPI assigned

Feb 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sweetwater Psychological Associates, LLC

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1114085743
  NPD (past)

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660348800000",
    "number": "1245537562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1742",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300311742",
            "telephone_number": "678-235-8767",
            "fax_number": "855-740-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MCDONOUGH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303317",
            "telephone_number": "678-235-8767",
            "fax_number": "855-740-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "TAMARA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY003307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106375B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106375C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Caroline Gobbel, L.C.S.W.
• Mark Tilden Gobbel, D.M.D.
• Amy Ellen Goch, PH.D.
• God's Helper's Private Home Care, LLC
• Nikita Godbole, DPT
• Russell Godwin, LCSW
• Stephan U Goebel, M. D.
• Virginia L. Goetsch, PH.D.
• Seri Gohde, LCSW
• Lucila Goicochea Barbaran, LPC

• Counseling Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.