Jennifer Jane Gould, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

033974 Issued in GA

Practice address

1101 9TH Ave N
St Petersburg, FL 33705-1271

Phone

(727) 308-3341

Fax

(727) 216-2193

NPI assigned

Sep 4, 2007

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1215121116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 COURTENAY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063421",
            "telephone_number": "404-875-4551",
            "fax_number": "404-875-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051271",
            "telephone_number": "727-308-3341",
            "fax_number": "727-216-2193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Suncoast Center, Inc",
            "address_2": "4024 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "FL",
            "postal_code": "33711",
            "country_code": "US",
            "telephone_number": "727-388-1220",
            "fax_number": "727-322-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME-129323",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "033974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "ME-129323",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gotsmile, Inc (Kristine Marshall DDS)
• Bhagavan Gottipati
• Erik William Gottschling
• Channing Gould-Sanderson, LMHC
• Cynthia Genevieve Gould, LCSW
• Mark William Goulding, D.M.D.
• Ashley Goulet, PA-C
• Stephen M Gouse II, DO
• Govindan P Nair MD PA
• Roy D Gowing, D.C.

• Child & Adolescent Psychiatry Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.