Roberto Gouthman Jr., DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS16880 Issued in FL

Practice address

297 E Hwy 50 Ste 1
Clermont, FL 34711-2500

Phone

(786) 843-5463

Fax

(830) 402-4521

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Specialty

Psychiatry

Education

Lake Erie College of Osteopathic Medicine, Erie, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sunrise Counseling Services PLLCGroup PAC ID 4385181759, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roberto.gouthman@hca3.eclinicaldirectplus.com

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.

• Sunrise Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clermont, FL
  • NPI 1710624101
  Medicare reassignment Care Compare group NPD Authorized official
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Ocala Behavioral Health LLC

  • Psychiatric Hospital
  • Ocala, FL
  • NPI 1548546864
  Medicare reassignment NPD
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Healthone Clinic Services - Behavioral Health LLC

  • Psychiatry Physician
  • Aurora, CO
  • NPI 1891320636
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1437688702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 E HWY 50 STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112500",
            "telephone_number": "786-843-5463",
            "fax_number": "830-402-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 E HWY 50 STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112500",
            "telephone_number": "786-843-5463",
            "fax_number": "830-402-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11059 E Bethany Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142622",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Potomac St Ste 218",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800116706",
            "country_code": "US",
            "telephone_number": "720-282-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 Ridgegate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245522",
            "country_code": "US",
            "telephone_number": "305-815-0921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "fax_number": "863-494-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUTHMAN",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS16880",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "TL0006538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ROBERTO.GOUTHMAN@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "725 N 12th Ave Bldg B",
            "city": "Arcadia",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342668752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Delores Loretta Goodmon
• Christine A Gopal, OTR/L
• Anita Gopalakrishnan, M.D.
• Emily Gordon
• William Jordan Gottschalk, DO
• Philip Gozdowski, APRN
• Graceland Health Services LLC
• Katherine A Grady, DDS
• Brittaney Nicole Gragg
• Ardene Maria Graham Deans

• Psychiatry Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.