Ayo Maria Gooden, PH.D., Abpbc, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016573 Issued in PA

Legal business name

AYO MARIA GOODEN, PH.D., ABPBC, LLC

Practice address

1210 Cheyney Rd
West Chester, PA 19382-8502

Phone

(610) 453-2849

Fax

(484) 315-8186

NPI assigned

May 29, 2015

Last updated

May 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ayo Maria Gooden, PH.D.NPI 1497985378

Title

Licensed Psychologist

Phone

(610) 453-2849

Specialties & licenses 7

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ayo Maria Gooden, PHD, ABPBC, LLC

  • Clinical Psychologist
  • West Chester, PA
  • NPI 1497985378
  NPD (past) Authorized official

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1386023869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "WESTTOWN",
            "state": "PA",
            "postal_code": "193950623",
            "telephone_number": "610-453-2849",
            "fax_number": "484-315-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 CHEYNEY RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828502",
            "telephone_number": "610-453-2849",
            "fax_number": "484-315-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYO MARIA GOODEN, PH.D., ABPBC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "GOODEN",
        "authorized_official_first_name": "AYO",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-453-2849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016573",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS016573",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016573",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS016573",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016573",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS016573",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PS016573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025453330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Auwaeter
• Aventura at Pembrooke, LLC (Aventura at Pembrooke)
• Muhammet Mert Ayanoglu, MD
• David Ayers, LPC
• Christopher L Aylsworth, PA-C
• Steven Back, M.D., PH.D.
• Michael Bacon, M.A.
• Allison Bader, MS, RD, LDN
• Daniel Baer, MS, LAT, ATC
• Jessica Maguire Baer, BCBA, BSC

• Clinical Psychologist in West Chester, PA
• Providers in West Chester, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.