David Paul Gosse, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 0424 Issued in NV

Practice address

2620 Regatta Drive
Suite 102
Las Vegas, NV 89128-6891

Phone

(702) 385-4673

Fax

(702) 925-8261

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: david.gosse.1@30520.direct.athenahealth.com

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558456129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 JETTY ROCK DRIVE",
            "address_2": "#103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286609",
            "telephone_number": "702-228-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 REGATTA DRIVE",
            "address_2": "SUITE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286891",
            "telephone_number": "702-385-4673",
            "fax_number": "702-925-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSE",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY 0424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2602093",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brea Simone Gosine
• Donna Gosnell, M.S.,MFT, LCADC
• Faith Gosom
• Brad Goss, RN
• Deyanira Goss
• Joseph Thomas Gosser
• Nicole Gosso
• Jerome Goston
• Rashawn Leray Goston
• Cassidy Gosvener

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.