Individual provider Active NPI

Marie-Christine Rutter Goodworth, PH.D.

  • Psychologist
  • Newberg, OR
National Provider Identifier
1588091581
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2178 Issued in OR
Practice address
414 N Meridian St # V104
George Fox University Graduate DPT of Clinical Psych
Newberg, OR 97132-2697
Phone
(503) 554-2382
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2178 OR Primary
Clinical Psychologist 103TC0700X 2178 OR

Addresses

Primary practice location

414 N Meridian St # V104
George Fox University Graduate DPT of Clinical Psych
Newberg, OR 97132-2697

Mailing address

414 N Meridian St # V104
George Fox University Graduate DPT of Clinical Psych
Newberg, OR 97132-2697
Phone (503) 554-2382

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

State licenses

LicenseStateTypeSpecialty
2178ORMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1588091581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N MERIDIAN ST # V104",
            "address_2": "GEORGE FOX UNIVERSITY GRADUATE DPT OF CLINICAL PSYCH",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322697",
            "telephone_number": "503-554-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N MERIDIAN ST # V104",
            "address_2": "GEORGE FOX UNIVERSITY GRADUATE DPT OF CLINICAL PSYCH",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322697",
            "telephone_number": "503-554-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWORTH",
        "first_name": "MARIE-CHRISTINE",
        "middle_name": "RUTTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2178",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.