Jeffrey Allen Goff, RADT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

22 W Carter Ave
Sierra Madre, CA 91024-1219

Phone

(626) 921-0113

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Male

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

Practice roles

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

• Dedicato Treatment Center Inc

  dba Dedicato Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1417313214
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1780261172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20546 COLLEGEWOOD DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891115",
            "telephone_number": "626-393-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W CARTER AVE",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241219",
            "telephone_number": "626-921-0113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20546 Collegewood Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "CA",
            "postal_code": "917891115",
            "country_code": "US",
            "telephone_number": "626-393-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFF",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "RADT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Festin
• Kathleen Ann Fitzgerald, LMFT
• Ryan Forsell, LMFT
• Kirsten Jeanne Gardner, M.D.
• Patricia Louise Gieselman, MFT
• Jake Anthony Gonzales
• S. Elizabeth Gramling, M.A.
• Alyssa Ann Grassi
• Lorraine Kulhanek Gray, R.D.
• Carol Lynn Grisham, MFT

• Case Manager/Care Coordinator in Sierra Madre, CA
• Providers in Sierra Madre, CA by specialty
• Case Manager/Care Coordinator in California

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