EDWIN BAKER GOODALL PH.D. NPI 1134348329

NPI Information

  • NPI: 1134348329
  • Provider Name: EDWIN BAKER GOODALL, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 401 GILFORD AVE
    UNIT 103
    GILFORD, NH
    ZIP 03249
  • Phone: (603) 496-7955

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NPI Details

Edwin Baker Goodall, PH.D. is a clinical psychologist in Gilford, NH. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Edwin Baker Goodall, PH.D. NPI is 1134348329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 GILFORD AVE
UNIT 103
GILFORD, NH
ZIP 03249-500
Phone: (603) 496-7955
Fax: (603) 528-2257

The NPI 1134348329 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical196NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10602256YONHO1OTHERNEW HAMPSHIREANTHEM BCBS
2NH2256MEDICARE ID-TYPE UNSPECIFIEDNEW HAMPSHIREMEDICARE
380622256MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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