Amy Louise Gossett, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29328 Issued in CA

Practice address

1660 E Roseville Pkwy Ste 100
Roseville, CA 95661-3988

Phone

(916) 878-4023

Fax

(916) 878-4039

NPI assigned

Sep 14, 2017

Last updated

Sep 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Louise Gaines Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Support for Your LifeGroup PAC ID 9638518467, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Support for Your Life

  • Clinical Psychologist
  • Auburn, CA
  • NPI 1255034203
  Medicare reassignment Care Compare group NPD
• Authentic Counseling Associates - a Psychological Corporation

  • Psychologist
  • Gold River, CA
  • NPI 1003165846
  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1629597208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 BRANDO LOOP",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283764",
            "telephone_number": "916-532-5191",
            "fax_number": "916-878-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 E ROSEVILLE PKWY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613988",
            "telephone_number": "916-878-4023",
            "fax_number": "916-878-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSETT",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GAINES",
            "middle_name": "LOUISE",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janice L Gordon
• Flona Gorgis
• Mary Grace F Gorospe, PA-C
• Emily Gosnell
• Jennifer Goss, DDS
• Dawn Elaine Gould, RN, MSN, CNS
• Elizabeth Gould
• John E Gould, M.D.
• David Dean Gover, M.D.
• Taylor Gowan

• Clinical Psychologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.