Active NPI
Andrea Gould, PH. D.
- Psychologist
- Syosset, NY
National Provider Identifier
1376537324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 004928
- Practice address
- 26 School House LN
Syosset, NY 11791-2618 - Phone
- (516) 921-4333
- Fax
- (516) 364-5943
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 004928 | NY | Primary |
Addresses
Primary practice location
26 School House LN
Syosset, NY 11791-2618
Mailing address
26 School House LN
Syosset, NY 11791-2618
Phone (516) 921-4333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004928 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1376537324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SCHOOL HOUSE LN",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117912618",
"telephone_number": "516-921-4333",
"fax_number": "516-364-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SCHOOL HOUSE LN",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117912618",
"telephone_number": "516-921-4333",
"fax_number": "516-364-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "004928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.