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ANGELIQUE D. GOODHUE M.D.
NPI 1609852854
Psychiatry & Neurology - Psychiatry in Midvale, UT

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
7434 S STATE ST, SOUTH VALLEY MENTAL HEALTH, MIDVALE, UT 84047(801) 566-4432 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angelique D. Goodhue M.d. NPPES

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

ANGELIQUE D. GOODHUE M.D. (NPI 1609852854) is an individual psychiatry provider in Midvale, Utah, licensed in Utah (963253611205) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1995).

NPPES Registry Identity

NPI1609852854
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameANGELIQUE D. GOODHUECredential: M.D.
Location Address7434 S STATE ST, SOUTH VALLEY MENTAL HEALTHMidvale, UT 84047-2014
Mailing Address1901 S Berkeley StSalt Lake City, UT 84108-3201
Phone(801) 566-4432
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1995
Enumeration DateDecember 20, 2005
Last NPPES UpdateJanuary 10, 2022
✔ NPI 1609852854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in UT · 963253611205
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
7434 S STATE ST, Midvale, UT 84047
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Other Names 1

Other Name (5)Angelique Goodhue M.d.

Other Identifiers 4

Other107007839101UT · Intermountain Healthcare
Other662594UT · Deseret Mutual
Other942938348UT · Champus
Other942938348G02UT · Educators Mutual

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelique D. Goodhue M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941294201
PECOS Enrollment IDI20150924003019
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 Angelique Goodhue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
535 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. SYDNA K FREEMAN R.N.
Registered Nurse (Psychiatric/Mental Health)
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 566-4423
MRS. FARROKH HOSSEINI MOZARI MASTER LMFT
Marriage & Family Therapist
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 566-4423
GARETT MONTY GROESBECK
Behavior Technician
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 456-9955
MR. DEAN M KENNINGTON LCSW
Social Worker (Clinical)
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 566-4423
ALBERTO PEREZ
Behavior Analyst
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 456-9955
KRISTIN MATHESON
Behavior Technician
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 456-9955
VICTORIA NORTON
Behavior Technician
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 456-9954
MORGAN ERIN WYATT
Behavior Technician
7434 S STATE ST
MIDVALE, UT 84047
Salt Lake County (801) 456-9955

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 Angelique Goodhue's NPI number?

The NPI number for Angelique Goodhue is 1609852854. It was assigned to this individual provider in the NPPES registry on December 20, 2005. The provider is also known as Angelique Goodhue M.D..

Where is Angelique Goodhue located?

Angelique Goodhue practices at 7434 S State St South Valley Mental Health, Midvale, UT 84047. The listed phone number is (801) 566-4432.

What is Angelique Goodhue's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Angelique Goodhue enrolled in Medicare?

Yes. Angelique Goodhue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Angelique Goodhue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelique Goodhue reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Angelique Goodhue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angelique Goodhue was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.