Gotham Psychiatric PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G141046 Issued in CA

Legal business name

GOTHAM PSYCHIATRIC PC

Practice address

5419 Hollywood Blvd Ste C172
Los Angeles, CA 90027-3480

Phone

(213) 814-0040

Fax

(917) 338-1381

NPI assigned

Aug 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Golder, MD

Title

President

Phone

(213) 814-0040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1306399951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BRAND BLVD STE 640",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034215",
            "telephone_number": "213-814-0040",
            "fax_number": "917-338-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 HOLLYWOOD BLVD STE C172",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273480",
            "telephone_number": "213-814-0040",
            "fax_number": "917-338-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM PSYCHIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "GOLDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-814-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G141046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Danielle Goss, NNP-BC
• Ryan Gosselin
• John Martin Gossen, MD
• Alexus Gossett
• Lemorn Gossett
• Mami Goto, M.D.
• Yoshihiro Goto, D.D.S., M.S.D.
• Rolanda Gott, MD
• Samantha Rae Gottell Brown, LCSW
• Jana S Gottfried, LCSW

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.