Organization Active NPI

Dr Goidel & Associates LLC

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1265226179
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR GOIDEL & ASSOCIATES LLC
Practice address
10216 Camelback LN
Boca Raton, FL 33498-4717
Phone
(561) 331-3953
NPI assigned
Apr 7, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Jean Iaderose
Title
Office MGR
Phone
(561) 331-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

10216 Camelback LN
Boca Raton, FL 33498-4717

Mailing address

10216 Camelback LN
Boca Raton, FL 33498-4717
Phone (561) 331-3953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250620000831 FL Part B Supplier - Clinic/Group Practice 8729590369 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1265226179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 CAMELBACK LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984717",
            "telephone_number": "561-331-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 CAMELBACK LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984717",
            "telephone_number": "561-331-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GOIDEL & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "IADEROSE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "561-331-3953"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.