Ross L Gourvitz, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1298 Issued in NH

Practice address

40 S River Rd Unit 33
Bedford, NH 03110-6721

Phone

(603) 614-6016

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 17, 2026 through Jun 17, 2028

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifestages Family Neurohealth LLC

  • Clinical Neuropsychologist
  • Bedford, NH
  • NPI 1447885777
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1033247226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 33",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106721",
            "telephone_number": "603-614-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD UNIT 33",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106721",
            "telephone_number": "603-614-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURVITZ",
        "first_name": "ROSS",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "68 018046",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68 018046",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1298",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NH",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Goodwin, PTA, CSCS
• Chelsae Gordon, RD
• Kaleigh Gordon, M.A, CCC-SLP
• Sheryl R. Gottwald, PH.D.
• Laura M Gourdeau, BCBA
• April Gouveia, CHWC, CHN
• Grace Goyette, APRN
• Granite State Behavioral Health
• Granite State Mental Health
• Granite State Neurosurgery PLLC

• Clinical Neuropsychologist in Bedford, NH
• Providers in Bedford, NH by specialty
• Clinical Neuropsychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.