Mitzi Gold, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-663 Issued in HI

Practice address

1016 Kapahulu Ave
Honolulu, HI 96816-1354

Phone

(808) 737-6277

Fax

(808) 732-3707

NPI assigned

Jun 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

• Life Master LLC

  • Psychologist
  • Honolulu, HI
  • NPI 1083970545
  Medicare reassignment NPD Authorized official
• Pratibha Shulamit Eastwood, PHD, Inc.

  • Psychologist
  • Honolulu, HI
  • NPI 1336335918
  NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1093750895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 KALAKAUA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154650",
            "telephone_number": "808-926-2052",
            "fax_number": "808-732-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 KAPAHULU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161354",
            "telephone_number": "808-737-6277",
            "fax_number": "808-732-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "MITZI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55077401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William A. K. Goh, MD
• Yong S Goh, MD
• Lynn Y Gokan-Oshiro, SP324
• Kacie Kenko Gokan
• Oguz Ahmet Goknur, L.AC.
• Miriam Goldberg, LCSW, CAMS-II
• Carol Jane Goldblatt, PSY.D., J.D., CSAC
• Golden Dermatology LLC
• Golden Rule ABA, LLC
• Anne Golden

• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.
• 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.