Fredrica Jill Gover, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY13880 Issued in CA

Practice address

611 S Palm Canyon Dr
Suite 201
Palm Springs, CA 92264-7213

Phone

(760) 416-7899

Fax

(760) 416-7786

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Sud Specialty Group - Ca

  dba Rula Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment Care Compare group NPD
• Dap Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Palm Springs, CA
  • NPI 1306464326
  Medicare reassignment
• The LGBT Community Center of the Desert

  dba The Center

  • Community/Behavioral Health Agency
  • Palm Springs, CA
  • NPI 1508298803
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1669496899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 N. VIA MIRALESTE #1618",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-832-9631",
            "fax_number": "760-832-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S PALM CANYON DR",
            "address_2": "SUITE 201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922647213",
            "telephone_number": "760-416-7899",
            "fax_number": "760-416-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVER",
        "first_name": "FREDRICA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "13880",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70034F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvin A. Gonzalez, MD
• Mireya I Gonzalez Jr., LMFT
• Hayden Gorham
• Ewa Gosek, M.D.,
• Rory Dennis Goshorn, MFT PSYD
• Pete Grabenstetter, P.T.
• Michaelene Granberg
• Grancare LLC (Palm Springs Healthcare Center)
• Christina Esquivel Granillo, LMFT
• Clarisa Grano

• Psychologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.