John Phillip Godfrey in Austin - Adult Development & Aging

John Phillip Godfrey - NPI 1023029170

John Phillip Godfrey is a Adult Development & Aging in Austin, Texas. John Phillip Godfrey practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for John Phillip Godfrey is 1023029170. The last update date is 2023-04-27.

John Phillip Godfrey's current location address is 5750 Balcones Dr Ste 106, Austin, Texas. You can contact this provider via phone number 7372025789 and fax number 7372097080. The mailing address for John Phillip Godfrey is 5750 Balcones Dr Ste 106, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name John Phillip Godfrey
Address 5750 Balcones Dr Ste 106, Austin, Texas
Phone Number 7372025789
Fax Number 7372097080
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1023029170
Provider Enumeration Date 2006-08-11
Last Updated Date 2023-04-27

Provider Mailing Address Detail

Address 5750 Balcones Dr Ste 106
City Austin
State Texas (TX)
Post Code 787314268
Phone Number 7372025789
Fax Number 7372097080

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 25101
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
160306 TX VALUE OPTIONS
40973202 TX --
0003LJ TX BCBS NUMBER
97034000 TX MAGELLAN ID NUMBER

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FAQs about John Phillip Godfrey

What is the unique 10-digit identification code issued to John Phillip Godfrey by the Centers for Medicare & Medicaid Services?

The John Phillip Godfrey has been assigned the NPI (National Provider Identifier) 1023029170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where John Phillip Godfrey's facilities are geographically located?

The facilities of John Phillip Godfrey are physically situated at the following location: 5750 Balcones Dr Ste 106, Austin, TX, 787314268.

What is the area of specialization for John Phillip Godfrey, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Phillip Godfrey is Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of expertise is 103Ta0700X.

On what date was the 1023029170 assigned to John Phillip Godfrey?

The John Phillip Godfrey was issued its 1023029170 on 2006-08-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to John Phillip Godfrey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Phillip Godfrey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-04-27.

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