Goal Mentality LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GOAL MENTALITY LLC

Practice address

10375 Ford Ave Ste 3
Richmond Hill, GA 31324-9037

Phone

(912) 500-5800

Fax

(912) 500-2902

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Claudia Gonzalez, PSY.D

Title

Owner

Phone

(912) 500-5870

Specialties & licenses 3

Addresses

Other names 1

• Goal Mentality LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudia Gonzalez Erigolla, PSY.D.

  • Psychologist
  • Richmond Hill, GA
  • NPI 1508241522

  Multi-Specialty

  NPD
• Jade Johansen, NCC, M. ED.

  • Mental Health Counselor
  • Richmond Hill, GA
  • NPI 1053022566
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1376249268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 FORD AVE STE 3",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249037",
            "telephone_number": "912-500-5800",
            "fax_number": "912-500-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 FORD AVE STE 3",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249037",
            "telephone_number": "912-500-5800",
            "fax_number": "912-500-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL MENTALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-500-5870",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goal Mentality LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maya Gibson, RBT
• Kiabeth Giese
• Alexandra Gipson, RBT
• Storman Glass
• Richard W Glover, OTR/L
• Claudia Gonzalez Erigolla, PSY.D.
• Connie Marie Gonzalez, MSCCC-SLP
• Melissa Ann Gonzalez
• Matthew Good, PA-C
• Catherine Corish Grant, PA-C

• Clinical Psychologist in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.