Mary Beth Goebel-Komala, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6028 Issued in OH

Practice address

500 N Main St
Findlay, OH 45840-3544

Phone

(419) 423-3292

Fax

(419) 423-7662

NPI assigned

Jan 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1346229648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403544",
            "telephone_number": "419-424-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458403544",
            "telephone_number": "419-423-3292",
            "fax_number": "419-423-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL-KOMALA",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Findlay",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Findlay",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Findlay",
            "address_1": "500 N Main St",
            "city": "Findlay",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458403544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Lee Gilliland, NP-C
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• Robynn Lorraine Gonzalez

• Clinical Psychologist in Findlay, OH
• Providers in Findlay, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.