Individual provider Active NPI

Lyad Gozal, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
National Provider Identifier
1386760346
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME100930 Issued in FL
Practice address
1639 Forum PL
Suite 7
West Palm Beach, FL 33401-2330
Phone
(561) 712-8821
Fax
(561) 712-8070
NPI assigned
Mar 22, 2007
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD200673 LA
Psychiatry Physician 2084P0800X ME100930 FL Primary

Addresses

Primary practice location

1639 Forum PL
Suite 7
West Palm Beach, FL 33401-2330

Mailing address

1639 Forum PL
Suite 7
West Palm Beach, FL 33401-2330
Phone (561) 712-8821

Other identifiers 2

IdentifierTypeStateIssuer
1-07413-6MedicaidLA
076140100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000743 FL Practitioner - Psychiatry 3375688815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multilingual Psychotherapy Centers IncGroup PAC ID 2264517382, 6 clinicians

Practice addresses (Care Compare)

1639 Forum PL
Suite 7
West Palm Beach, FL 33401-2330
Phone (561) 712-8821

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200673LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multilingual Psychotherapy Centers, Inc. CurrentSince Mar 9, 2020 Accepting new patients

Locations

1639 Forum Pl
Ste 7
West Palm Beach, FL 33401

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1386760346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL",
            "address_2": "SUITE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821",
            "fax_number": "561-712-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 FORUM PL",
            "address_2": "SUITE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012330",
            "telephone_number": "561-712-8821",
            "fax_number": "561-712-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZAL",
        "first_name": "LYAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD200673",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME100930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-07413-6",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076140100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.