Paul Robert Gould, LCSW, LICSW, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076437 Issued in NY

Practice address

300 The Fenway
Boston, MA 02115-5898

Phone

(607) 624-8313

NPI assigned

May 31, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Kindred Spirits Counseling & Wellness, LLC

  • Clinical Social Worker
  • Chelmsford, MA
  • NPI 1447920905
  NPD Authorized official

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1649838012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OLD WESTFORD RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018241039",
            "telephone_number": "607-624-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 THE FENWAY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155898",
            "telephone_number": "607-624-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Old Westford Rd",
            "address_purpose": "LOCATION",
            "city": "Chelmsford",
            "state": "MA",
            "postal_code": "018241039",
            "country_code": "US",
            "telephone_number": "607-624-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "LCSW, LICSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne L Gould, PT
• Apryle Marie Gould, DO
• Ashlee Gould
• Douglas Stephen Gould, CRNA, MS
• Helen F Gould, RNCS
• Richard K Goulding, M.D.
• Marc David Goulston
• Liliana Christova Goumnerova, M.D., F.R.C.S.C.
• Jennifer Gourde, CPNP
• Linda Gousby, CARC

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.