Katrina Goines, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004347 Issued in GA

Practice address

463 Pasley Ave SE
Atlanta, GA 30316-1731

Phone

(857) 919-7729

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katrina Bridgman Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1528657699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 PASLEY AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 PASLEY AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161731",
            "telephone_number": "857-919-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Dresden Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303413920",
            "country_code": "US",
            "telephone_number": "470-689-3657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOINES",
        "first_name": "KATRINA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "BRIDGMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Gohde, LPC
• Isha Gohel
• William Gohr
• Colleen Goidel
• Jennifer Goines, MD
• Robert L Going, CRNA
• Janice Richelle Goins
• Karim Abdul Gokal, M.D.
• Ashlesha Akhilesh Gokhale, PT
• Gowri Nagarajan Gokul, PA-C

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.