Active NPI
Joanna Gol, PH.D.
- Clinical Child & Adolescent Psychologist
- Houston, TX
National Provider Identifier
1750447793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 25606
- Practice address
- 2211 Norfolk St
#505
Houston, TX 77098-4096 - Phone
- (713) 520-0482
- Fax
- (713) 622-1999
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 25606 | TX | Primary |
Addresses
Primary practice location
2211 Norfolk St
#505
Houston, TX 77098-4096
Mailing address
2211 Norfolk St
#505
Houston, TX 77098-4096
Phone (713) 520-0482
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25606 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750447793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 NORFOLK ST",
"address_2": "#505",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984096",
"telephone_number": "713-520-0482",
"fax_number": "713-622-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 NORFOLK ST",
"address_2": "#505",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984096",
"telephone_number": "713-520-0482",
"fax_number": "713-622-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOL",
"first_name": "JOANNA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "25606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.