The Goode Doctor LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

THE GOODE DOCTOR LLC

Practice address

920 Providence Rd Ste 407
Towson, MD 21286-2979

Phone

(877) 893-5480

Fax

(877) 893-5480

NPI assigned

Jan 4, 2020

Organization subpart

No

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

Authorized official

Name

David Goode-Ctoss, PHD

Title

Psychologist/Ceo

Phone

(877) 893-5480

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• East Towson Psychological Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David T Goode-Cross, PHD

  • Counseling Psychologist
  • Towson, MD
  • NPI 1215203716
  NPD

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1245879402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 SQUIRES RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862958",
            "telephone_number": "443-438-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PROVIDENCE RD STE 407",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862979",
            "telephone_number": "877-893-5480",
            "fax_number": "877-893-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOODE DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "GOODE-CTOSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "877-893-5480",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY",
            "identifier": "1215203716",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Towson Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; 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.