DR. ANDREW M GOTHARD PSY.D.
NPI 1053460659
Psychologist - Clinical in Atlanta, GA

Q: What is Andrew Gothard's NPI number?

The NPI number for Andrew Gothard is 1053460659. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Andrew Gothard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Gothard was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2007

2308 PERIMETER PARK DR, SUITE 100, ATLANTA, GA 30341(770) 457-5577(770) 457-5599 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Andrew M Gothard Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW M GOTHARD PSY.D. (NPI 1053460659) is an individual clinical provider in Atlanta, Georgia, licensed in Georgia (PSY002146) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1053460659

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANDREW M GOTHARDCredential: PSY.D.

Location Address2308 PERIMETER PARK DR, SUITE 100Atlanta, GA 30341-1316

Mailing Address2308 Perimeter Park Dr, Suite 100Atlanta, GA 30341-1316 · (770) 457-5577 · Fax (770) 457-5599

Phone(770) 457-5577

Fax(770) 457-5599

Sole ProprietorYes

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053460659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY002146

Definition

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.

2308 PERIMETER PARK DR, Atlanta, GA 30341

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