Active NPI
Nathan Goins, PSYD
- Clinical Psychologist
- Battle Ground, WA
National Provider Identifier
1285058115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60792548
- Practice address
- 101 NW 12TH Ave Ste 107
Battle Ground, WA 98604-9141 - Phone
- (360) 666-4480
- NPI assigned
- Feb 12, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60792548 | WA | Primary |
Addresses
Primary practice location
101 NW 12TH Ave Ste 107
Battle Ground, WA 98604-9141
Mailing address
607 E 3Rd St
Newberg, OR 97132-3105
Phone (559) 250-3072
Other practice location 1
700 Washington St Ste 105
Vancouver, WA 98660-3181
Phone (360) 816-7380
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ngoins398068@oc.providencedirect.org |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aa Psychology PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1932975919
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1285058115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 E 3RD ST",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323105",
"telephone_number": "559-250-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 12TH AVE STE 107",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049141",
"telephone_number": "360-666-4480"
}
],
"practiceLocations": [
{
"address_1": "700 Washington St Ste 105",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986603181",
"country_code": "US",
"telephone_number": "360-816-7380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOINS",
"first_name": "NATHAN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60792548",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ngoins398068@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1321 NE 99th Ave Ste 200",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972209439",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.