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DAZIALEE GOODWIN PHD
NPI 1194491480
Psychologist - Clinical Child & Adolescent in Saint Louis, MO

Active since August 18, 2021PECOS Enrolled
1 CHILDRENS PL STE 3N-14, SAINT LOUIS, MO 63110(314) 454-6069 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2025, Aug 18, 2021 (2 updates tracked since 2021).

About Dazialee Goodwin Phd NPPES

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

DAZIALEE GOODWIN PHD (NPI 1194491480) is an individual clinical child & adolescent provider in Saint Louis, Missouri and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194491480
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDAZIALEE GOODWINCredential: PHD
Location Address1 CHILDRENS PL STE 3N-14Saint Louis, MO 63110-1002
Mailing Address1 Childrens Pl Ste 3n-14Saint Louis, MO 63110-1002 · (314) 454-6000
Phone(314) 454-6069
Sole ProprietorNo
Enumeration DateAugust 18, 2021
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1194491480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1 CHILDRENS PL STE 3N-14, Saint Louis, MO 63110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dazialee Goodwin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dazialee Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Louis Childrens Hospital
0.8 mi
Adolescent and Children Mental Health
1 CHILDRENS PL
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 39 clinicians in this Medicare group
NPI 1710909486 (314) 454-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLAIRE WALLACE PH.D.
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6069
MRS. RAE ALEXANDRA WILKERSON MAIXNER PH.D.
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6069
JESSICA J COOKE PHD
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6069
SAMANTHA M CLEMO PSYD
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6069
CATHERINE PIKE
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6069
SARAH GIRRESCH-WARD PHD
Psychologist (Clinical Child & Adolescent)
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
St. Louis City (314) 323-4056
CHRISTOPHER POITEVIEN
Psychologist (Health Service)
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
St. Louis City (314) 454-4013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dazialee Goodwin's NPI number?

The NPI number for Dazialee Goodwin is 1194491480. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Dazialee Goodwin located?

Dazialee Goodwin practices at 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110. The listed phone number is (314) 454-6069.

What is Dazialee Goodwin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Dazialee Goodwin enrolled in Medicare?

Yes. Dazialee Goodwin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dazialee Goodwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dazialee Goodwin reassigns Medicare benefits to St. Louis Childrens Hospital (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dazialee Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dazialee Goodwin accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Dazialee Goodwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dazialee Goodwin was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.