Godman Psychological Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GODMAN PSYCHOLOGICAL SERVICES

Practice address

1048 Benito Ave
Pacific Grove, CA 93950-5404

Phone

(917) 873-0759

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By 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

Carolyn E Godman, PHD, CCHP-MHNPI 1164597043

Title

President

Phone

(917) 873-0759

Specialties & licenses 1

Addresses

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.

• Carolyn Elizabeth Godman, PH.D., CCHP-MH

  • Psychologist
  • San Diego, CA
  • NPI 1164597043
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1780252999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 BALBOA AVE # 1256",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175504",
            "telephone_number": "917-873-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 BENITO AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505404",
            "telephone_number": "917-873-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODMAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "GODMAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-873-0759",
        "authorized_official_credential": "PHD, CCHP-MH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway Center of Monterey County Inc.
• Sylvia Gil
• Trinette Louise Gilbert, D.C.
• Jane Ann Gingerich, L,C.S.W.
• Martha Elizabeth Gleason, PHD
• Dana J Gordon, PHARM.D.
• Jean Cheng Gorman, PSY.D.
• Courtney Gramm
• James Gary Grant, MD
• Valerie Griffin, PHARMD.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.