Patricia Rogers Goodyear, PH.D
Individual provider Active NPI Psychologist · Greenville, SC
NPI 1356853535 · NPPES record last updated Oct 28, 2017
Key facts
- NPI
- 1356853535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 529 (SC)
- Practice address
- 117 W Antrim Dr
Greenville, SC 29607-2505 - Phone
- (864) 313-5669
- NPI assigned
- Oct 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529 | SC | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 529 | SC | Yes |
Addresses
Primary practice location
117 W Antrim Dr
Greenville, SC 29607-2505
Mailing address
117 W Antrim Dr
Greenville, SC 29607-2505
Phone (864) 313-5669
Other providers in Greenville, SC
- Edward Goodwin
- Jordan Owen Goodwin
- Molly Bozeman Goodwin
- Peter Goodwin
- Stephen Chas Goodwin
- Paari Gopalakrishnan
- Olivia Gordon-Tomlinson
- Cynthia Gordon
- Janice Gordon
- Kendra Talisha Gordon
All providers in Greenville, SC · Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.