| Angelique D Goodhue, MD | |
|
7434 S State St, South Valley Mental Health, Midvale, UT 84047-2014 | |
| (801) 566-4432 | |
| Not Available |
| Full Name | Angelique D Goodhue |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 31 Years |
| Location | 7434 S State St, Midvale, Utah |
| 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 |
|---|---|---|---|
| 1609852854 | NPI | - | NPPES |
| 107007839101 | Other | UT | INTERMOUNTAIN HEALTHCARE |
| 942938348G02 | Other | UT | EDUCATORS MUTUAL |
| 662594 | Other | UT | DESERET MUTUAL |
| 942938348 | Other | UT | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 963253611205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelique D Goodhue, MD 1901 S Berkeley St, Salt Lake City, UT 84108-3201 Ph: () - | Angelique D Goodhue, MD 7434 S State St, South Valley Mental Health, Midvale, UT 84047-2014 Ph: (801) 566-4432 |
Amie Jo Aslami, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7434 S State St, Midvale, UT 84047 Phone: 801-245-9283 | |
Bryan S Maulden, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1225 Fort Union Blvd Ste 215, Midvale, UT 84047 Phone: 801-501-4350 | |
Nicholas Michael Absalom, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7259 S Bingham Junction Blvd, Midvale, UT 84047 Phone: 801-264-6400 | |
Richard A Segal, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1225 Fort Union Blvd Ste 215, Midvale, UT 84047 Phone: 801-501-4350 |