NPIMap

Organization Active NPI

Simply Psychology LLC

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1942994413
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SIMPLY PSYCHOLOGY LLC
Practice address
2930 E Northern Ave Ste A105
Phoenix, AZ 85028-4844
Phone
(602) 428-2838
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Alicia Goodman, PHD, NCSPNPI 1588997753
Title
Licensed Psychologist
Phone
(480) 330-2584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2930 E Northern Ave Ste A105
Phoenix, AZ 85028-4844

Mailing address

2310 E Indianola Ave
Phoenix, AZ 85016-6523

Other practice location 1

214 E Monterey Way
Phoenix, AZ 85012-2620
Phone (602) 428-2838

National Provider Directory

National Provider Directory

Locations

2930 E Northern Ave
Ste A105
Phoenix, AZ 85028
Phone (602) 428-2838

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1942994413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E INDIANOLA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 E NORTHERN AVE STE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284844",
            "telephone_number": "602-428-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Monterey Way",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122620",
            "country_code": "US",
            "telephone_number": "602-428-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLY PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-330-2584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, NCSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.