Active NPI
Michael Gerard Golder, M.D.
- Psychiatry Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G141046
- Practice address
- 191 S Buena Vista St Ste 300
Burbank, CA 91505-4556 - Phone
- (925) 282-1778
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 268082 | NY | |
| Psychiatry Physician | 2084P0800X | G141046 | CA | Primary |
Addresses
Primary practice location
191 S Buena Vista St Ste 300
Burbank, CA 91505-4556
Mailing address
191 S Buena Vista St Ste 300
Burbank, CA 91505-4556
Phone (925) 282-1778
Other practice location 1
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone (310) 515-8113
Other practice location 2
600 N Brand Blvd Ste 640
Glendale, CA 91203-4215
Phone (213) 814-0040
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010123593 | Medicaid | VA | |
| 406720700 | Medicaid | MD | |
| 036575900 | Medicaid | DC |
Other names 1
- Michael Golder
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Info@brainhealthusa.com | Health Information Exchange (HIE) | Ehab Yacoub MD Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Columbia University College of Physicians and Surgeons, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
191 S Buena Vista St
Suite 300
Burbank, CA 91505-4556
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G141046 | CA | MD | Psychiatry Physician |
| 268082 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Psychiatry | Current | Accepting new patients |
| Ehab Yacoub MD Inc. | Past | Accepting new patients | |
| Medical Faculty Associates, Inc | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 300
Burbank, CA 91505
Phone (818) 566-9707
6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474
Interoperability endpoints
- lifestancehealth.michaelgolder@148377.advancedmd-direct.com
- info@brainhealthusa.com
- mgolder787789@oc.providencedirect.org
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA, Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Van Nuys, CA
- NPI 1538581913
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1760455778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST STE 300",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054556",
"telephone_number": "925-282-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST STE 300",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054556",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "1225 W 190th St Ste 280",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902484305",
"country_code": "US",
"telephone_number": "310-515-8113",
"fax_number": "310-538-2102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 N Brand Blvd Ste 640",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912034215",
"country_code": "US",
"telephone_number": "213-814-0040",
"fax_number": "917-338-1381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDER",
"first_name": "MICHAEL",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "268082",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G141046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010123593",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406720700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036575900",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Info@brainhealthusa.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Ehab Yacoub MD Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "18411 Crenshaw Blvd Ste 230",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "905045052",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "GOLDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burbank, CA
- Golden Seasons Hospice, Inc.
- Golden State Hospice Care
- Golden State Specialty Pharmacy
- Golden Steps Behavioral Services, Inc.
- Goldencare Home Health Agency Inc
- Goldie Drops, Inc.
- Babak Meir Goldman, MD
- Royce Melanie Goldman, MS ED., M.A., LMFT
- Janet Elizabeth Goldstein-Ball, MFT, CEDS
- Reena Goldstein
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.