Philip William Gold, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D17800 Issued in MD

Practice address

5415 W Cedar LN
Suite 204B
Bethesda, MD 20814-1515

Phone

(301) 605-5902

Fax

(301) 405-1561

NPI assigned

Oct 20, 2011

Reactivated

Aug 24, 2021

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1740565837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 W CEDAR LN",
            "address_2": "SUITE 204B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141515",
            "telephone_number": "301-605-5902",
            "fax_number": "301-405-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 W CEDAR LN",
            "address_2": "SUITE 204B",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141515",
            "telephone_number": "301-605-5902",
            "fax_number": "301-405-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "PHILIP",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "deactivation_date": "2021-08-06",
        "reactivation_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D17800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Golas, CRNP
• Shireen Golchin
• Anne Gold, IBCLC
• Bryce Gold, PSY D
• Leah Kyle Gold, NP
• Jed Goldart, MD
• Susan Goldart, DSW; LCSW
• Raphaela Goldbach-Mansky, M.D.
• Dara Goldberg, LCSW-C
• Howard J Goldberg, M.D.

• Psychiatry Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.