Active NPI
James Michael Gould, PH.D.
- Psychologist
- Ardmore, PA
National Provider Identifier
1225156508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS 005266L
- Practice address
- 2743 Morris Rd
Ardmore, PA 19003-1909 - Phone
- (610) 642-4421
- Fax
- (610) 649-6133
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS 005266L | PA | Primary |
Addresses
Primary practice location
2743 Morris Rd
Ardmore, PA 19003-1909
Mailing address
2743 Morris Rd
Ardmore, PA 19003-1909
Phone (610) 642-4421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PVR 110 R02 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2743 Morris Rd
Ardmore, PA 19003-1909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 005266L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225156508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2743 MORRIS RD",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190031909",
"telephone_number": "610-642-4421",
"fax_number": "610-649-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2743 MORRIS RD",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190031909",
"telephone_number": "610-642-4421",
"fax_number": "610-649-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS 005266L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PVR 110 R02",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.