Active NPI
Jeffrey Lois Gould, MD
- Forensic Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1669532404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- A61295
- Practice address
- 350 Parnassus Ave Ste 309
San Francisco, CA 94117-3608 - Phone
- (415) 944-3610
- Fax
- (415) 704-3490
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | A61295 | CA | Primary |
Addresses
Primary practice location
350 Parnassus Ave Ste 309
San Francisco, CA 94117-3608
Mailing address
1559B Sloat Blvd # 206
San Francisco, CA 94132-1222
Phone (415) 944-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A61295 | CA | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1669532404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559B SLOAT BLVD # 206",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941321222",
"telephone_number": "415-944-3610",
"fax_number": "415-704-3490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARNASSUS AVE STE 309",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173608",
"telephone_number": "415-944-3610",
"fax_number": "415-704-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULD",
"first_name": "JEFFREY",
"middle_name": "LOIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "A61295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.