Godfrey, John Phillip
Godfrey, John Phillip is an sole proprietor health care provider with primary practice located at 5750 Balcones Dr Ste 106 , Austin TX 78731-4268. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Godfrey, John Phillip can be contacted via phone (737) 202-5789.Contact Information
Primary practice address
5750 Balcones Dr Ste 106
Austin TX 78731-4268
Phone: (737) 202-5789
Fax: (737) 209-7080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 25101 | Texas |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 25101 | Texas |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 25101 | Texas |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 25101 | Texas |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 25101 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25101 | Texas |
Profile Details
| NPI number | 1023029170 |
|---|---|
| LBN Legal business name | Godfrey, John Phillip |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Apr 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023029170 | NPPES |
| Texas | Other | 160306 | VALUE OPTIONS |
| Texas | MEDICAID | 040973202 | VALUE OPTIONS |
| Texas | Other | 0003LJ | VALUE OPTIONS |
| Texas | Other | 97034000 | VALUE OPTIONS |
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