Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Jo Goller, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1548048010

Amy Jo Goller, PMHNP-BC is a Nurse Practitioner in Manchester, New Hampshire. Qualified in 2023, 3 years ago. Practices with Elliot Professional Services, a 424-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New Hampshire.

Years since qualifying
3
Licensed in
FL, NH
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2 Wall St
Manchester, NH 03101-1518
Phone: (603) 668-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 09305223 (NH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN11027279 (FL)

Record details

NPI number1548048010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedSeptember 18, 2023
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Elliot Professional Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 424 clinicians in the practice; 12 are shown here.

Other providers in Manchester