NPIMap

Individual provider Active NPI

Ayo Maria Gooden, PHD, ABPBC, LLC

  • Clinical Psychologist
  • West Chester, PA
National Provider Identifier
1497985378
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016573 Issued in PA
Practice address
1210 Cheyney Rd
West Chester, PA 19382-8502
Phone
(610) 453-2849
Fax
(610) 399-0415
NPI assigned
Jul 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016573 PA
Cognitive & Behavioral Psychologist 103TB0200X PS016573 PA
Clinical Psychologist 103TC0700X PS016573 PA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PS016573 PA
Family Psychologist 103TF0000X PS016573 PA

Addresses

Primary practice location

1210 Cheyney Rd
West Chester, PA 19382-8502

Mailing address

PO Box 623
Westtown, PA 19395-0623
Phone (610) 453-2849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Interface Psych Services, Inc Clinical Past Accepting new patients
Elders Counseling Group PastSince Jul 1, 2016 Accepting new patients
Ayo Maria Gooden, PH.D., Abpbc, LLC Psychologist PastSince Nov 3, 2014 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1497985378",
    "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": "610-399-0415"
        },
        {
            "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": "610-399-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "AYO",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHD, ABPBC, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-25",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "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": "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.