Goddard Psychological Services No 2

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

334 Issued in NH

Legal business name

GODDARD PSYCHOLOGICAL SERVICES NO 2

Practice address

66 Prospect St
Manchester, NH 03104-3506

Phone

(603) 629-9851

Fax

(603) 472-5781

NPI assigned

Aug 27, 2016

Last updated

Aug 27, 2016By 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

Robert Goddard, PH.D.NPI 1508828237

Title

Licensed Psychologist

Phone

(603) 629-9851

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Robert C Goddard, PH.D.

  • Clinical Psychologist
  • Manchester, NH
  • NPI 1508828237
  NPD (past) Authorized official
• Camille McLaughlin, RDN, LD

  • Registered Dietitian
  • Antrim, NH
  • NPI 1588182034
  NPD (past)
• Suzanne Theresa Proulx, R.D.

  • Registered Dietitian
  • Bedford, NH
  • NPI 1609095959
  NPD (past)

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1407302813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10575",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031100575",
            "telephone_number": "603-629-9851",
            "fax_number": "603-472-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PROSPECT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043506",
            "telephone_number": "603-629-9851",
            "fax_number": "603-472-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD PSYCHOLOGICAL SERVICES NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "603-629-9851",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083226",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quenton Glennon, LCMHC
• Glimmer of Hope Behavior Consultation Services LLC
• Anna Glinko, PHARMD
• Isabel Glueckert
• Jeffrey Godbois, LADC
• Abrah Beth Goddard, BS
• Robert C Goddard, PH.D.
• Mariah Goerner, OTR/L
• Ali Goguen, APRN
• Awani Gokhale

• Clinical Psychologist in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.