Gold Therapeutics

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GOLD THERAPEUTICS

Practice address

1112 Daniels St Ste 40
Vancouver, WA 98660-2954

Phone

(503) 806-9680

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Peter Gold

Title

Owner

Phone

(503) 806-9680

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1255814331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 DANIELS ST STE 40",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 DANIELS ST STE 40",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602954",
            "telephone_number": "503-806-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-806-9680"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter L Goertz, M.D.
• John David Goetsch, M.S. - COUNSELING
• Mary E Goetz, PT
• David Gofreed, DPT
• Ellyssa K Gogenola
• Kerrin Louise Golden, MS, NCC, LMHC
• Jesse Tipelin Goldfarb, MD
• Kristina Goldinov
• Olga N Goldinov, FNP
• Debra Ann Goldstein, CNM

• Adult Mental Health Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.