Maria Gootee, MSFMT, PSYD., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042969A Issued in IN

Practice address

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Phone

(317) 696-8858

NPI assigned

Jul 13, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R P Therapy LLCGroup PAC ID 4789076373, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.53 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.77

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R P Therapy LLC

  • Psychologist
  • Fort Wayne, IN
  • NPI 1912667478
  Medicare reassignment Care Compare group NPD
• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785

  Clinical

  Medicare reassignment NPD
• Rounding Providers

  • Family Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1538486691
  Medicare reassignment NPD
• Transcendent Physiatry and Rehabilitation LLC

  • Physical Medicine & Rehabilitation Physician
  • Carmel, IN
  • NPI 1407442486
  Medicare reassignment NPD

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1710330899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 WASHINGTON BLVD",
            "address_2": "#164",
            "city": "NORTH OGDEN",
            "state": "TX",
            "postal_code": "844142240",
            "telephone_number": "214-970-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7970 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "317-696-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11967 DuBarry Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460338258",
            "country_code": "US",
            "telephone_number": "317-696-8858",
            "fax_number": "317-810-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOTEE",
        "first_name": "MARIA",
        "credential": "MSFMT, PSYD., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042969A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott T Goodrich, M.D.
• Caleb Goodwin
• Isaac D Goodwin
• Karleen Goodwin, PHARMD
• Sara Goodwin, NP
• Jennifer L Goranson
• Frank Robert Gordon, PHARM.D
• Geoffrey Gordon, M.D.
• Jessica M Gordon
• Krystal Gordon

• Clinical Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.