Scott Alan Goode, PHD, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94025027 Issued in CA

Practice address

617 Veterans Blvd Ste 204
Redwood City, CA 94063-1419

Phone

(650) 503-8179

Fax

(650) 679-8052

NPI assigned

Sep 18, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Wise Mind Institute, a Psychological Corporation

  • Psychologist
  • Redwood City, CA
  • NPI 1174990360
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1932759115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27160 MOODY RD",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940224240",
            "telephone_number": "650-209-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 VETERANS BLVD STE 204",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631419",
            "telephone_number": "650-503-8179",
            "fax_number": "650-679-8052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Grayson St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947102611",
            "country_code": "US",
            "telephone_number": "650-503-8179",
            "fax_number": "650-679-8052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94025027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott@thewisemindinstitute.com",
            "affiliation": "N",
            "endpointDescription": "private practice email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "617 Veterans Blvd Ste 204",
            "city": "Redwood City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940631419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Anthony Gonzales, LMFT, ATR-P
• Berliz Eugenia Gonzalez, BA
• Cristofina Gonzalez, LCSW
• Yesela Iliana Gonzalez, BS
• Good Smiles LLC
• Varun Gorantla, M.D.
• Andrea Gordon
• Carrie Kallenbach Gordon, NP
• Paul Gorman, M.D.
• Brenda Denise Gormley, RD

• Psychologist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.