Peter William Goodwin, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0006241 Issued in CO

Practice address

3011 S Glencoe St
Denver, CO 80222-6805

Phone

(312) 934-3381

NPI assigned

Jun 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1255060117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD STE 201",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111726",
            "telephone_number": "720-868-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 S GLENCOE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226805",
            "telephone_number": "312-934-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "PETER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen G Goodridge
• Goodwill of Colorado
• Benjamin Charles Goodwin, MD
• Jean Marie Goodwin, M.S.W.
• Meredith Rumon Goodwin, MD
• Whitney Goodwin
• Alexander Goodyear
• Marjorie Millard Goodyear, P.A.
• Gopa Mukherjee
• Ravi Kumar Gopal, M.D.

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.