Individual provider Active NPI

Jeffrey A. Gold, PHD

  • Clinical Psychologist
  • Newtown, PA
National Provider Identifier
1245426006
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005263L Issued in PA
Practice address
2865 S Eagle Rd
Suite 335
Newtown, PA 18940-1546
Phone
(215) 479-6439
Fax
(866) 854-5355
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005263L PA Primary
Clinical Psychologist 103TC0700X B1-0000821 DE
Clinical Psychologist 103TC0700X 35SI00267400 NJ

Addresses

Primary practice location

2865 S Eagle Rd
Suite 335
Newtown, PA 18940-1546

Mailing address

2865 S Eagle Rd
Suite 335
Newtown, PA 18940-1546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20111220000400 PA Practitioner - Clinical Psychologist 7214019140 Practice locations: Reading, PA; Pottstown, PA; Holland, PA; Drums, PA; Hatboro, PA
I20111221000074 NJ Practitioner - Clinical Psychologist 7214019140 Practice locations: Old Bridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 E Wyomissing Blvd
Wyomissing Health and Rehab Center
Reading, PA 19611-1764
Phone (610) 376-3991

1990 Route 18
Old Bridge, NJ 08857-3771
Phone (732) 607-9230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00267400NJMDClinical Psychologist
PS005263LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vericare of Pennsylvania, P.C. Clinical Past Accepting new patients
The Yardley Center for Psychology, Inc. PastSince Apr 15, 2008 Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Clinical Past Accepting new patients
Cepd Management Services, Inc. Clinical PastSince Oct 8, 2011 Accepting new patients

Organizations & group practices 4

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1245426006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 S EAGLE RD",
            "address_2": "SUITE 335",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 S EAGLE RD",
            "address_2": "SUITE 335",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401546",
            "telephone_number": "215-479-6439",
            "fax_number": "866-854-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005263L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000821",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00267400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.