Affirming Care Psychotherapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AFFIRMING CARE PSYCHOTHERAPY LLC

Practice address

140 Prospect Ave Ste N
Kirkwood, MO 63122-6074

Phone

(314) 884-0180

NPI assigned

Nov 1, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Davis Goldman, PH.D.

Title

Owner

Phone

(314) 884-0180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Helen Davis, PH.D.

  • Clinical Psychologist
  • Kirkwood, MO
  • NPI 1811214158
  Medicare reassignment NPD

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1679346647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE STE N",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226074",
            "telephone_number": "314-884-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PROSPECT AVE STE N",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226074",
            "telephone_number": "314-884-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMING CARE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-884-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.