Susan L Gouldson

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

013457-1 Issued in NY

Practice address

1428 5TH Avenue
Bay Shore, NY 11706-4153

Phone

(631) 665-1900

NPI assigned

Dec 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Acld Kramer Learning Center

  • Developmental Disabilities Clinic/Center
  • Bay Shore, NY
  • NPI 1942565015
  NPD (past)
• Adults and Children With Learning and Developmental Disabilites, Inc.

  • Developmental Disabilities Clinic/Center
  • Bethpage, NY
  • NPI 1265674303
  NPD (past)

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1033412788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HARBOURPOINT DRIVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 5TH AVENUE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064153",
            "telephone_number": "631-665-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDSON",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "013457-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Isabel Goodwin, MD
• Michael Gorczycki, PA-C
• Bernard N. Gordy, LAC.
• Lisa Maria Gostkowski
• Meaghan Gould, LMSW
• Sudhir Goyal, M.D.
• Daniel Gozdziewski, DC
• Mark W Graf, LMT
• Latisa Ann Graham, MHC-LP
• Chelsea Grant, MD

• Pediatric Occupational Therapist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.