Ayelet Gottesman, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024462 Issued in NY

Practice address

1750 S Brentwood Blvd Ste 550
Saint Louis, MO 63144-1341

Phone

(314) 740-8134

NPI assigned

Aug 16, 2021

Last updated

Dec 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1578238051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S BRENTWOOD BLVD STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441341",
            "telephone_number": "314-740-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S BRENTWOOD BLVD STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441341",
            "telephone_number": "314-740-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "AYELET",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Alexander Gosser
• Kristin Robinette Gossett
• Michael J Gossett, CRNA
• Shreya Goswami, MD
• Brenda G Gotter, AUD
• Gary Stephen Gottesman, MD
• Rajashree Gottimukkula, MD
• Srinivas Ramakrishna Gottipati, M.D
• Ashlee Gottlob
• Erika Milner Gotway

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.