Goldpsychology

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GOLDPSYCHOLOGY

Practice address

15151 S US Highway 441 Ste 300
Summerfield, FL 34491-4482

Phone

(352) 502-3525

Fax

(352) 732-7333

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jack Deems Gold, PH.D.NPI 1831141654

Title

Clinical Psychologist

Phone

(352) 502-3525

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Deems Gold, PH.D.

  • Clinical Psychologist
  • Summerfield, FL
  • NPI 1831141654
  NPD Authorized official

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1528541547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 S US HIGHWAY 441 STE 300",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914482",
            "telephone_number": "352-502-3525",
            "fax_number": "352-732-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 S US HIGHWAY 441 STE 300",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914482",
            "telephone_number": "352-502-3525",
            "fax_number": "352-732-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6998 N US Highway 27 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344823998",
            "country_code": "US",
            "telephone_number": "352-502-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEEMS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "352-502-3525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "1831141654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "682469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1831141654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1831141654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Kay Fregeau
• John S Geddes III, O.D.
• Sara Ines Gitte, MD
• Gold Services
• Jack Deems Gold, PH.D.
• Anderson Carlos Goncalves, AP, DACM
• Florines Gonzalez, ARNP, FNP-BC
• Grace and Harmony (Grace,Natasha)
• Greater Ocala Anesthesia Associates LLC
• Kenneth David Grier, OD

• Adult Mental Health Clinic/Center in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.