Active NPI
Jonathan Goode, PSY.D.
- Psychologist
- Washington, DC
National Provider Identifier
1588109342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1001231
- Practice address
- 1609 Connecticut Ave NW
Suite 301
Washington, DC 20009-1034 - Phone
- (202) 271-0222
- Fax
- (202) 806-7299
- NPI assigned
- Jan 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1001231 | DC | Primary |
Addresses
Primary practice location
1609 Connecticut Ave NW
Suite 301
Washington, DC 20009-1034
Mailing address
4701 Old Soper Rd Apt 363
Camp Springs, MD 20746-4012
Phone (202) 271-0222
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001231 | DC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1588109342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 OLD SOPER RD APT 363",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207464012",
"telephone_number": "202-271-0222",
"fax_number": "202-806-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 CONNECTICUT AVE NW",
"address_2": "SUITE 301",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200091034",
"telephone_number": "202-271-0222",
"fax_number": "202-806-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1001231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.