Individual provider Active NPI

Erin Golden, PSYD

  • Psychologist
  • Springfield, MO
National Provider Identifier
1992981195
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2013020714 Issued in MO
Practice address
2030 S National Ave Ste 105
Springfield, MO 65804-2238
Phone
(417) 820-9590
NPI assigned
Jan 17, 2008
Last updated
Jan 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2013020714 MO Primary

Addresses

Primary practice location

2030 S National Ave Ste 105
Springfield, MO 65804-2238

Mailing address

2030 S National Ave Ste 105
Springfield, MO 65804-2238
Phone (417) 820-9590

Other practice location 1

105 S Ridgecrest Ave
Nixa, MO 65714-7807
Phone (417) 725-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20130927000686 MO Practitioner - Clinical Psychologist 0143454470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1965 S Fremont Ave
330 MC Psychiatry S Fremont Suite 330
Springfield, MO 65804-2251
Phone (417) 820-8180

2030 S National Ave
Psychology Medicical Gardens
Springfield, MO 65804-2222
Phone (417) 820-9590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jan 16, 2018 Accepting new patients
Mercy Clinic Springfield Communities Psychologist CurrentSince Jan 16, 2018 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 16, 2018 Accepting new patients
Mercy Clinic Springfield Communities Psychologist Past Accepting new patients

Locations

1312 E Lark St
#L
Springfield, MO 65804
Phone (417) 820-3707

1965 S Fremont Ave
Ste 330
Springfield, MO 65804
Phone (417) 820-7731

2030 S National Ave
Ste 105
Springfield, MO 65804
Phone (417) 820-9590

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1992981195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S NATIONAL AVE STE 105",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042238",
            "telephone_number": "417-820-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S NATIONAL AVE STE 105",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042238",
            "telephone_number": "417-820-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Ridgecrest Ave",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657147807",
            "country_code": "US",
            "telephone_number": "417-725-8250",
            "fax_number": "417-875-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "ERIN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2013020714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.