John Gouldy, MD, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N0058 Issued in TX

Legal business name

JOHN GOULDY, MD, PA

Practice address

3505 Boca Chica Blvd
110
Brownsville, TX 78521-4214

Phone

(956) 234-3825

NPI assigned

Nov 3, 2012

Organization subpart

No

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

Authorized official

Name

John Price Gouldy, M.D.NPI 1083894117

Title

Owner

Phone

(956) 234-3825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Price Gouldy, M.D.

  • Psychiatry Physician
  • Imperial, CA
  • NPI 1083894117

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1351900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351900800000",
    "number": "1073867651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BOCA CHICA BLVD",
            "address_2": "110",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214214",
            "telephone_number": "956-234-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BOCA CHICA BLVD",
            "address_2": "110",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214214",
            "telephone_number": "956-234-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GOULDY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-03",
        "last_updated": "2012-11-03",
        "status": "A",
        "authorized_official_last_name": "GOULDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-234-3825",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N0058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odilia Jimenez, LPC
• JJP Doctor's Choice Home Health LLC
• JK Sun Valley Healthcare Associates PA (JK Urgent Care Clinic)
• Joan W. Conkey Dba Family Connection
• Joe D. Zayas, DDS, PC
• James Michael John, OTR
• Michelle H. John, O.T.R.
• Johnny Flores. M.a., P.C.
• Gregory Johnson, MD
• Jacob Nathaniel Jolley

• Psychiatry Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.