Active NPI
Elizabeth Anne Gosch, PHD, ABPP
- Psychologist
- Bala Cynwyd, PA
National Provider Identifier
1558032854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS009065L
- Practice address
- 108 E Dartmouth Rd
Bala Cynwyd, PA 19004-2213 - Phone
- (215) 292-3250
- NPI assigned
- Sep 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | PS009065L | PA | Primary |
Addresses
Primary practice location
108 E Dartmouth Rd
Bala Cynwyd, PA 19004-2213
Mailing address
108 E Dartmouth Rd
Bala Cynwyd, PA 19004-2213
Phone (215) 292-3250
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 |
|---|---|---|---|
| PS009065L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632614400000",
"number": "1558032854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E DARTMOUTH RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042213",
"telephone_number": "215-292-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E DARTMOUTH RD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042213",
"telephone_number": "215-292-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSCH",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD, ABPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-26",
"last_updated": "2021-09-26",
"certification_date": "2021-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS009065L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.