Active NPI
Jennifer S. Ritchie-Goodline, PSY.D.
- Psychologist
- Centennial, CO
National Provider Identifier
1598812257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2741
- Practice address
- 6065 S Quebec St
Suite 202
Centennial, CO 80111-4524 - Phone
- (720) 299-8342
- Fax
- (303) 779-0327
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2741 | CO | Primary |
Addresses
Primary practice location
6065 S Quebec St
Suite 202
Centennial, CO 80111-4524
Mailing address
6065 S Quebec St
Suite 202
Centennial, CO 80111-4524
Phone (720) 299-8342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2741 | CO | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1598812257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6065 S QUEBEC ST",
"address_2": "SUITE 202",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114524",
"telephone_number": "720-299-8342",
"fax_number": "303-779-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6065 S QUEBEC ST",
"address_2": "SUITE 202",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114524",
"telephone_number": "720-299-8342",
"fax_number": "303-779-0327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE-GOODLINE",
"first_name": "JENNIFER",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.