Taylor Gotovac

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008239 Issued in VA

Practice address

831 Grove Rd Ste C
Midlothian, VA 23114-2666

Phone

(804) 794-6600

NPI assigned

Oct 22, 2015

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

Medicare fee-for-service enrollment

Enrolled in VA

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 1

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 and National Provider Directory roles.

• Chesterfield Family Guidance Center

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1225192909
  Medicare reassignment NPD

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1992177547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 GROVE RD STE C",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231142666",
            "telephone_number": "804-794-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 GROVE RD STE C",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231142666",
            "telephone_number": "804-794-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTOVAC",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33590",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Gordon, LPTA
• Sarah Gordon
• Michael Scott Gore, DDS
• Emily Goryeb, NP
• Megan E Goss, OTRL
• Grace Givers LLC
• Gifty Gracious Ross
• Grafton School, Inc.
• Carmen Anne Gragnani, LPC
• Kelsey Graham, CST, CSA, CSFA

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.