Beverly Constance Gould, LCSW, PSY.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075295-1 Issued in NY

Practice address

8956 162ND St
3Rd Floor
Jamaica, NY 11432-5072

Phone

(718) 297-8000

Fax

(718) 262-8228

NPI assigned

Jan 30, 2007

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

Medicare fee-for-service enrollment

Enrolled in NY

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

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 and National Provider Directory roles.

• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Forest Hills, NY
  • NPI 1649329806
  Medicare reassignment NPD
• The Child Center of Ny, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Jamaica, NY
  • NPI 1235288333
  NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669519955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 8TH ST",
            "address_2": "APT. 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153604",
            "telephone_number": "718-297-8000",
            "fax_number": "718-262-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 162ND ST",
            "address_2": "3RD FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325072",
            "telephone_number": "718-297-8000",
            "fax_number": "718-262-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "BEVERLY",
        "middle_name": "CONSTANCE",
        "name_prefix": "Dr.",
        "credential": "LCSW, PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Gornie, L.C.S.W.
• Bijoya Goswami
• Xyrell Gotis, PT
• Shanique Ameerah Goulbourne, LMSW
• Adina Gould, MSPT
• John P Goutos, MD
• Tashekia Gowan, LPN
• Vivek Goyal, OD
• Elliott Juan Goytia, MD
• Graciceci Inc

• Clinical Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.