Tangy Denise Goffner

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

NV20121267098 Issued in NV

Practice address

1129 W Monroe Ave
Las Vegas, NV 89106-2914

Phone

(702) 462-1893

NPI assigned

Nov 24, 2012

Last updated

Nov 24, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353715200000",
    "number": "1689918054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 W MONROE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062914",
            "telephone_number": "702-462-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 W MONROE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062914",
            "telephone_number": "702-462-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFFNER",
        "first_name": "TANGY",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-24",
        "last_updated": "2012-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NV",
            "license": "NV20121267098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Allan Goff, DPT
• Kristin Michelle Goff
• Rachel Goff
• Robert Daniel Goff, D.O.
• Sofia Elizabeth Goff
• Chad Dana Goffstein, M.D.
• Derek Michael Goffstein, D.O.
• Jacklyn Goforth
• Meridith Joy Goforth
• Nicole Marie Gogue Pangelinan, LMSW, CSW-I

• Clinical Child & Adolescent Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Child & Adolescent Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2012; 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.