Andrew William Goddard, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C132659 Issued in CA

Practice address

2210 E Illinois Ave Ste 401
Fresno, CA 93701-2184

Phone

(559) 320-0580

Fax

(559) 320-0582

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Monterey

  dba Adult Services Program Salinas Valley

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1467584805
  Medicare reassignment Care Compare group
• County of del Norte

  dba DHHS Behavioral Health Branch

  • Community/Behavioral Health Agency
  • Crescent City, CA
  • NPI 1790801116
  Medicare reassignment NPD
• County of Monterey Behavioral Health

  dba Csoc Fast

  • Clinical Child & Adolescent Psychologist
  • Salinas, CA
  • NPI 1073645586
  NPD
• County of Tuolumne

  • Community/Behavioral Health Agency
  • Sonora, CA
  • NPI 1417502188
  NPD
• Indiana University Psychiatric Associates, Inc.

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1023063724
  NPD (past)
• State of Connecticut

  dba Connecticut Mental Health Center

  • Psychiatric Hospital
  • New Haven, CT
  • NPI 1881629434
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital of the Monterey Peninsula

  • Psychiatric Hospital Unit
  • Monterey, CA
  • NPI 1679562169
  Care Compare affiliation
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1346294725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE STE 401",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012184",
            "telephone_number": "559-320-0580",
            "fax_number": "559-320-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "C132659",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C132659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200355710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Heather Go, DO
• Nellie Verzosa Go, F.N.P.
• Gobehavioralllc
• God Heals US Inc. (Natural Health Center)
• Regina M Godbout, MD
• Scott Kelly Goddard, OMS
• Whitney Anne Godfirnon
• John Dahl Godfrey, ATC/PTA
• Brenda Godinez Guerrero
• Brenda Godinez Salas

• Psychiatry Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.