Jennifer L Bruce-McGoldrick, PSYD, BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7716 Issued in FL

Practice address

10526 Palm Cove Ave
Tampa, FL 33647-2987

Phone

(813) 994-5890

NPI assigned

Oct 21, 2005

Last updated

May 13, 2009By 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 2

Addresses

Other names 1

• Dr. Jennifer L McGoldrick Other name

Medicare fee-for-service enrollment

Enrolled in FL, IN, DC, NC4 enrollments

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 4

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellqor Psychological Services PCGroup PAC ID 1658633292, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellqor Psychological Services, PC

  • Clinical Psychologist
  • Melville, NY
  • NPI 1063920841

  DC, FL, IN, NC

  Medicare reassignment Care Compare group NPD
• Jennifer McGoldrick LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1063647782
  Authorized official Same address or phone

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1861482820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10526 PALM COVE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472987",
            "telephone_number": "813-994-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 PALM COVE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472987",
            "telephone_number": "813-994-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE-MCGOLDRICK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD, BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7716",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-01-0483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCGOLDRICK",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PSYD, BCBA-D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adrienne Bruccoleri, FNP
• Bruce D Shephard MD PA
• Bruce J Edson MD PA
• Bruce J Levine DPM PA
• Bruce W Anderson, P.a. (Anderson & Chhabra EyeCare Center)
• Allison Bruce, APRN
• Ashleigh Lauren Bruce, DDS
• Curtis Allen Bruce, MD
• Michael Bruce, LMT
• Nelia Bruce, ARNP

• Clinical Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.