GERIATRIC AND FAMILY MENTAL HEALTH SERVICES, LLC
NPI 1679566624
Psychologist in Phoenix, AZ

Active since August 24, 2005
11110 N TATUM BLVD, 103, PHOENIX, AZ 85028(602) 432-0800(602) 443-0401 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Geriatric And Family Mental Health Services, Llc NPPES

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

GERIATRIC AND FAMILY MENTAL HEALTH SERVICES, LLC (NPI 1679566624) is a healthcare organization registered as a psychologist in Phoenix, Arizona and active in the NPI registry since August 2005. The organization lists Gary Neal Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1679566624
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameGERIATRIC AND FAMILY MENTAL HEALTH SERVICES, LLC
Location Address11110 N TATUM BLVD, 103Phoenix, AZ 85028-1607
Mailing Address11110 N Tatum Blvd, Suite 103Phoenix, AZ 85028-1607 · (602) 432-0800 · Fax (602) 443-0401
Fax(602) 443-0401
Organization SubpartNo
Authorized OfficialGary Neal GoodmanOwner · (602) 432-0800
Enumeration DateAugust 24, 2005
Last NPPES UpdateJanuary 8, 2015
NPI 1679566624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AZ · 3196
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

11110 N TATUM BLVD, Phoenix, AZ 85028

Other Identifiers 1

Medicare PINZ76542AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Psychologist (Counseling)
11110 N TATUM BLVD, SUITE 103
PHOENIX, AZ 85028
Psychiatry & Neurology (Psychosomatic Medicine)
11110 N TATUM BLVD, SUITE 103
PHOENIX, AZ 85028
Dentist (General Practice)
11110 N TATUM BLVD, SUITE 102
PHOENIX, AZ 85028
Dentist
11110 N TATUM BLVD, SUITE 102
PHOENIX, AZ 85028
Psychologist
11110 N TATUM BLVD, SUITE 103
PHOENIX, AZ 85028
Psychologist (Clinical)
11110 N TATUM BLVD, SUITE 103
PHOENIX, AZ 85028
Psychiatry & Neurology (Psychosomatic Medicine)
11110 N TATUM BLVD, SUITE 103
PHOENIX, AZ 85028
Dentist
11110 N TATUM BLVD, SUITE 102
PHOENIX, AZ 85028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679566624, enumerated as an "organization" on August 24, 2005.

The provider is located at 11110 N TATUM BLVD 103 PHOENIX, AZ 85028 and the phone number is (602) 432-0800.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.