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

Q: 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.

Q: What is Dazialee Goodwin's specialty?

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

Q: 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 12 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.

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: August 09, 2026.

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

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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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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