Robert C Goddard, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

334 Issued in NH

Practice address

66 Prospect St
Manchester, NH 03104-3506

Phone

(603) 629-9851

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Family Therapy Institute of Southern New Hampshire at Bedford, Inc.

  • Clinical Psychologist
  • Manchester, NH
  • NPI 1396971792
  NPD Authorized official
• Goddard Psychological Services No 2

  • Clinical Psychologist
  • Manchester, NH
  • NPI 1407302813
  NPD (past) Authorized official
• Seacoast Plastic Surgeons PA

  • Specialist
  • Dover, NH
  • NPI 1245325372
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384560000000",
    "number": "1508828237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PROSPECT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043506",
            "telephone_number": "603-629-9851"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-11-16",
        "status": "A"
    },
    "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"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80000701",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glimmer of Hope Behavior Consultation Services LLC
• Anna Glinko, PHARMD
• Jeffrey Godbois, LADC
• Goddard Psychological Services No 2
• Abrah Beth Goddard, BS
• Mariah Goerner, OTR/L
• Ali Goguen, APRN
• Awani Gokhale
• Lisa E Gold, LCMHC
• Samuel C Gold, M.D.

• 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 Nov 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.