John Price Gouldy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A79959 Issued in CA

Practice address

2302 Brown Road
Imperial, CA 92251-0731

Phone

(760) 337-7900

NPI assigned

Nov 6, 2007

Last updated

Oct 4, 2016By the provider in NPPES

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John Gouldy, MD, PA

  • Psychiatry Physician
  • Brownsville, TX
  • NPI 1073867651
  Medicare reassignment NPD Authorized official
• Corrections and Rehabilitation-Headquarters

  dba Centinella State Prison

  • Pharmacy
  • Imperial, CA
  • NPI 1679108476
  NPD (past)
• M Theresa C Ramones MD Inc

  • Surgery Physician
  • Brawley, CA
  • NPI 1184095440
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1083894117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BOCA CHICA BLVD STE 110",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214064",
            "telephone_number": "956-544-3191",
            "fax_number": "956-544-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 BROWN ROAD",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922510731",
            "telephone_number": "760-337-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDY",
        "first_name": "JOHN",
        "middle_name": "PRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A79959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Gomez
• Thomas Z Gomez, GENERAL CONTRACTOR
• Emma Gonzalez
• Frances L Gonzalez
• Promesa Gonzalez
• Bethzyra Guevara
• Hamid Zadeh MD Inc
• Healthy Living at Home - El Centro, LLC.
• Helping Children Achieve Therapies, LLC
• Sabrina Lauren Herbert

• Psychiatry Physician in Imperial, CA
• Providers in Imperial, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.