Individual provider Active NPI

Julie Marie Gochnour, MD

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1629244397
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2012-00124 Issued in NC
Practice address
2101 Garner Rd
Suite 113
Raleigh, NC 27610-4687
Phone
(919) 832-7351
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 141024 NC
Psychiatry Physician 2084P0800X TL33437 SC
Psychiatry Physician 2084P0800X 2012-00124 NC Primary

Addresses

Primary practice location

2101 Garner Rd
Suite 113
Raleigh, NC 27610-4687

Mailing address

2101 Garner Rd
Suite 113
Raleigh, NC 27610-4687
Phone (919) 832-7351

Other identifiers 1

IdentifierTypeStateIssuer
334374MedicaidSC

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
141024NCMDPsychiatry Physician
2012-00124NCMDPsychiatry Physician
TL33437SCMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1629244397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GARNER RD",
            "address_2": "SUITE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104687",
            "telephone_number": "919-832-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GARNER RD",
            "address_2": "SUITE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104687",
            "telephone_number": "919-832-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOCHNOUR",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "141024",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "TL33437",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2012-00124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334374",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.