Organization Active NPI

Dr. Yael Gold, P.C.

  • Counseling Psychologist
  • Wilmington, NC
National Provider Identifier
1720198609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2414 Issued in NC
Legal business name
DR. YAEL GOLD, P.C.
Practice address
5201 Oleander Dr
Wilmington, NC 28403-7020
Phone
(910) 799-6162
Fax
(910) 799-6171
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yael Gold, PH.D.NPI 1629022884
Title
President
Phone
(901) 799-6162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 2414 NC Primary

Addresses

Primary practice location

5201 Oleander Dr
Wilmington, NC 28403-7020

Mailing address

5201 Oleander Dr
Wilmington, NC 28403-7020
Phone (910) 799-6162

Other identifiers 2

IdentifierTypeStateIssuer
6000019MedicaidNC
1164HOtherNCBLUE CROSS BLUE SHIEL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000688 NC Part B Supplier - Clinic/Group Practice 6305923483 Receives reassigned benefits from 4 practitioners
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

5201 Oleander Dr
Wilmington, NC 28403
Phone (910) 799-6162

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720198609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037020",
            "telephone_number": "910-799-6162",
            "fax_number": "910-799-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037020",
            "telephone_number": "910-799-6162",
            "fax_number": "910-799-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. YAEL GOLD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "YAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-799-6162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "2414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000019",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIEL",
            "identifier": "1164H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.