Ronald a Goebel & Mark P Vigen PTR

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RONALD A GOEBEL & MARK P VIGEN PTR

Doing business as

Goebel & Vigen

Practice address

3341 Youree Dr Ste 20a
Shreveport, LA 71105-2149

Phone

(318) 425-2000

Fax

(318) 424-2601

NPI assigned

Oct 30, 2007

Last updated

Jan 8, 2020By 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

Ronald A. Goebel, PH.D.NPI 1386612042

Title

Partner

Phone

(318) 425-2000

Specialties & licenses 1

Addresses

Other names 1

• GOEBEL & VIGEN Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 4

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.

• Michael Todd Lobrano, PH.D.

  • Prescribing (Medical) Psychologist
  • Shreveport, LA
  • NPI 1750761847
  Medicare reassignment NPD
• Jennifer Russell, PH.D.

  • Clinical Psychologist
  • Shreveport, LA
  • NPI 1114347846
  Medicare reassignment NPD
• Mark P. Vigen, PH.D.

  • Forensic Psychologist
  • Shreveport, LA
  • NPI 1457329120
  Medicare reassignment NPD
• Ronald A. Goebel, PH.D.

  • Clinical Neuropsychologist
  • Shreveport, LA
  • NPI 1386612042
  Authorized official Same address or phone

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1477732188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 YOUREE DR STE 20A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052149",
            "telephone_number": "318-425-2000",
            "fax_number": "318-424-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A GOEBEL & MARK P VIGEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "318-425-2000",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOEBEL & VIGEN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GOEBEL & VIGEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Russell Rollins
• Patricia Ann Romano, APRN, CFNP
• Jason Jude Romero, MD
• Kara Romero, LPC
• Ramon Antonio Laserna Romero, M.D.
• Kimberly Rone
• Peyman Roohani, MD
• Samantha Roper
• Enrico Masangkay Roque Jr., OTR
• Tuiquitta Roque

• Clinical Psychologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.