Shannon Gould, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016788 Issued in NY

Practice address

7 Wells St
Suite 201
Saratoga Springs, NY 12866-1200

Phone

(518) 930-4615

Fax

(518) 930-4715

NPI assigned

Jul 14, 2006

Sex

Male

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

Enrolled in NY

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 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychological Services

  • Psychologist
  • Saratoga Springs, NY
  • NPI 1790972834
  NPD (past)
• R.G. Psychological Services, P.C.

  • Psychologist
  • Lynbrook, NY
  • NPI 1720037427
  NPD (past)
• Spa Physical Therapy, PC

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1487765095
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1316963382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WELLS ST",
            "address_2": "SUITE 201",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661200",
            "telephone_number": "518-930-4615",
            "fax_number": "518-930-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WELLS ST",
            "address_2": "SUITE 201",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661200",
            "telephone_number": "518-930-4615",
            "fax_number": "518-930-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "016788",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02814482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iris E Gonzalo-Sowle, MS,RN-BC,FNP-BC,ONC
• Goodemote Physical Therapy PLLC
• Matthew T Goodemote, MPT
• Shelley Lynn Gordon, LCSW-R
• Alana Marie Gorman, PT
• Elizabeth Charlene Graham, NP
• Sarah S Grant
• William Leo Graul III
• Tyler David Gray, PA
• Camille Grec, MA, LCAT, CH

• Psychologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.

Verify at the official NPI Registry.