Amanda Gould, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3536 Issued in TN

Practice address

5100 Poplar Ave Ste 322
Memphis, TN 38137-2604

Phone

(901) 766-7500

Fax

(901) 766-7550

NPI assigned

May 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Amanda Rach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

82.8 of 100Reported as group

Quality

67.04

Promoting interoperability

100

Improvement activities

40

Cost

75.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.gould.1@28653.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Psychiatric Associates P.C.

  • Specialist
  • Memphis, TN
  • NPI 1194929075
  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1629424296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE STE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381372604",
            "telephone_number": "901-755-7500",
            "fax_number": "901-766-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE STE 322",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381372604",
            "telephone_number": "901-766-7500",
            "fax_number": "901-766-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "AMANDA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3536",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000003536",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Goshen Hospice and Palliative Care
• Aidar Rauisovich Gosmanov, M.D., PH.D.
• Dorothy'E Gott, PH.D.
• Stephen Gottschalk, MD
• Hunter Christian Gough, CRNA
• Herbert Jay Gould, PH.D.
• Leya Gouto
• Nurlela Gouveia, M.D
• Nitin Goyal, M.D.
• Sameer Goyal, MD

• Clinical Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.