Jody Lynn Gottesman, PSYD | |
5611 Constitution Ave, Colorado Springs, CO 80915-1218 | |
(719) 492-5471 | |
Not Available |
Full Name | Jody Lynn Gottesman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 39 Years |
Location | 5611 Constitution Ave, Colorado Springs, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285842906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW 414 (Colorado) | Secondary |
103TC0700X | Psychologist - Clinical | 0003999 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Jody Lynn Gottesman, PSYD 5611 Constitution Ave, Colorado Springs, CO 80915-1218 Ph: (719) 492-5471 | Jody Lynn Gottesman, PSYD 5611 Constitution Ave, Colorado Springs, CO 80915-1218 Ph: (719) 492-5471 |
Magdalene L Lim, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4863 N Nevada Ave, Ste 321, Colorado Springs, CO 80918 Phone: 719-255-8002 Fax: 719-255-8006 | |
Justina Kropp, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1229 Lake Plaza Dr Ste A, Colorado Springs, CO 80906 Phone: 719-900-1301 Fax: 719-735-4952 | |
Sean Kelly, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4465 Northpark Dr Ste 309, Colorado Springs, CO 80907 Phone: 719-464-3163 Fax: 719-452-3713 | |
Kelly Laird-gillespie, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1802 Chapel Hills Dr Ste C, Colorado Springs, CO 80920 Phone: 719-695-0131 | |
Roy Leon Hill, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 716 N Tejon St, Ste 9, Colorado Springs, CO 80903 Phone: 719-598-7800 | |
Megan Lee Houk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Elkton Dr Ste 102, Colorado Springs, CO 80907 Phone: 719-357-6471 | |
Dr. William R Dove, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 224 E Willamette Ave, Colorado Springs, CO 80903 Phone: 719-632-4812 Fax: 719-389-6928 |