Active NPI
Andrew Barry Goff, PH.D.
- Clinical Psychologist
- Greensboro, NC
National Provider Identifier
1306839998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3000
- Practice address
- 510 N Elam Ave
Suite 201
Greensboro, NC 27403-1150 - Phone
- (336) 299-9945
- NPI assigned
- Aug 29, 2005
- Last updated
- Aug 10, 2007
- 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 | 3000 | NC | Primary |
Addresses
Primary practice location
510 N Elam Ave
Suite 201
Greensboro, NC 27403-1150
Mailing address
510 N Elam Ave
Suite 201
Greensboro, NC 27403-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000443 | Medicaid | NC |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | GA | MD | Counselor |
| 3000 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychology Associates, PC | Clinical | Past | Accepting new patients |
| Family Psychology Associates | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Greensboro, NC
- NPI 1164473195
-
- Clinical Psychologist
- Lagrange, GA
- NPI 1184869299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1306839998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N ELAM AVE",
"address_2": "SUITE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N ELAM AVE",
"address_2": "SUITE 201",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031150",
"telephone_number": "336-299-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "ANDREW",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000443",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.