Alison Goergen, PSY.D.
Individual provider Active NPI Clinical Psychologist · Elma, NY
NPI 1831789767 · NPPES record last updated Sep 23, 2023
Key facts
- NPI
- 1831789767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 025245 (NY)
- Practice address
- 960 W Maple CT
Elma, NY 14059-9397 - Phone
- (716) 805-1555
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suburban Adult Services Inc.
Practice addresses (Care Compare)
960 W Maple CT
Elma, NY 14059-9397
Phone (716) 805-1440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701001924 | NY | Practitioner - Clinical Psychologist | 4789085440 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Adult Services-Inc. | Current |
Accepting new patients |
Locations
960 W Maple Ct
Elma, NY 14059
Phone (716) 805-1440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 025245 | NY | Yes |
Addresses
Primary practice location
960 W Maple CT
Elma, NY 14059-9397
Mailing address
960 W Maple CT
Elma, NY 14059-9397
Phone (716) 805-1555
Other providers in Elma, NY
- Eric J Frank
- Nadine Marie Fulle
- Dawn A Gais
- Denise M Garry
- Elizabeth Gawronski
- Mary Therese Griffin
- Sara Griffin
- Rylee Taylor Haffey
- Heather Pisano, NP in Family Health and Psychiatry PLLC
- Lisa Hester
All providers in Elma, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.