Joan M. Levick Gold, PH.D.
Individual provider Active NPI Clinical Neuropsychologist · Valatie, NY
NPI 1124128657 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1124128657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 009681-1 (NY)
- Practice address
- 7 Thomas Rd
Valatie, NY 12184-4321 - Phone
- (518) 392-7314
- Fax
- (518) 392-5764
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009681-1 | NY | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 009681-1 | NY | Yes |
Addresses
Primary practice location
7 Thomas Rd
Valatie, NY 12184-4321
Mailing address
PO Box 118
Chatham, NY 12037-0118
Phone (518) 392-7314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01905259 | Medicaid | NY | |
| 01416751 | Medicaid | NY | |
| 009681-1 | Other | NY | JOAN'S LICENSE |
| 133586 | Other | NY | VALUE OPTIONS JOAN |
Other providers in Valatie, NY
- Kathleen Ko
- Susan Koller
- Stephen L Krizar
- Faith Kubow
- Lawrence Greitzer & Valerie Curry MDS
- Nicole Lewis
- Joanne Loviglio
- Lynshay Anne Lagrimas Macias
- Demerise Danielle Marshall
- Elliot J Martin
All providers in Valatie, NY · Clinical Neuropsychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.