Individual provider Active NPI

Ashley Gobeil, PH.D.

  • Psychologist
  • Longwood, FL
National Provider Identifier
1104174473
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10343 Issued in FL
Practice address
2941 W Sr 434 Ste 300
Longwood, FL 32779-4415
Phone
(407) 756-3930
NPI assigned
Aug 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY003939 GA
Counseling Psychologist 103TC1900X PSY003939 GA
Psychologist 103T00000X PY10343 FL Primary

Addresses

Primary practice location

2941 W Sr 434 Ste 300
Longwood, FL 32779-4415

Mailing address

2941 W Sr 434 Ste 300
Longwood, FL 32779-4415
Phone (407) 756-3930

Other names 1

  • Dr. Ashley Malchow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151016002154 GA Practitioner - Clinical Psychologist 1951610732 Reassigns benefits to 1 organization
I20191204000807 FL Practitioner - Clinical Psychologist 1951610732 Practice locations: Longwood, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2941 W Sr
434 Suite 300
Longwood, FL 32779-4415
Phone (407) 756-3930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Leigh S. Rosenberg, Psy.D. PLLC CurrentSince Jan 1, 2020 Accepting new patients
Columbus Psychological Assoc. PastSince Jun 15, 2017 Accepting new patients

Locations

2941 W Sr 434
Ste 300
Longwood, FL 32779
Phone (407) 362-5930

2973 W Sr 434
Ste 400
Longwood, FL 32779
Phone (407) 362-5930

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1104174473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 W SR 434 STE 300",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794415",
            "telephone_number": "407-756-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 W SR 434 STE 300",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327794415",
            "telephone_number": "407-756-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEIL",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-17",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003939",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY003939",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MALCHOW",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.