Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639992597 Individual Practitioner Female Practitioner

Dr. Katelyn Goodall , PsyD

Psychologist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Katelyn Goodall, PsyD is a registered healthcare professional specializing in Psychologist in St Augustine, FL. Practice services are available at 100 DEERFIELD PRESERVE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Deerfield Preserve Blvd

St Augustine, FL 320865966

Telephone 9048290814

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
10 Specialists

Practicing in St Augustine, FL (2327 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-07
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Abigail Cartledge , RDN

Dietitian, Registered

NPI 1023640299

Registered Dietitian Nutritionist

NPI 1033228937

Doctor of Medicine (M.D.)

Susan Ruday , MSN, RN

Registered Nurse - Home Health

NPI 1124859566

Master of Science in Nursing, Registered Nurse

Dustin Blend , LCSW

Social Worker - Clinical

NPI 1174268916

Licensed Clinical Social Worker

Maria Cirillo , LCSW

Social Worker - Clinical

NPI 1174499495

Licensed Clinical Social Worker

Brittany Cole , OT

Occupational Therapist

NPI 1205026986

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2024

Registered at 100 DEERFIELD PRESERVE BLVD, ST AUGUSTINE, FL 320865966 (Tel: 9048290814)

📍
Updated Business Mailing Address November 07, 2024

Registered at 28 WHIRLAWAY DR, PALM COAST, FL 321647260 (Tel: 3612050642)

👤
Provider Name / Credentials Updated November 07, 2024

Recorded as KATELYN GOODALL, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2024

Psychologist

🟢
Initial NPI Registration & Enumeration November 07, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639992597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2024
Last Update: November 07, 2024
Sole Proprietor: No

Mailing Address

28 Whirlaway Dr

Palm Coast, FL 321647260

Phone: 3612050642

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.