Jack Deems Gold, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7209 Issued in FL

Practice address

15151 S US Highway 441 Ste 300
Summerfield, FL 34491-4482

Phone

(352) 502-3525

Fax

(352) 732-7333

NPI assigned

May 17, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Goldpsychology

  • Adult Mental Health Clinic/Center
  • Summerfield, FL
  • NPI 1528541547
  NPD Authorized official
• Gold Services

  • Clinical Psychologist
  • Summerfield, FL
  • NPI 1124051297
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831141654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 S US HIGHWAY 441 STE 300",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914482",
            "telephone_number": "352-502-3525",
            "fax_number": "352-732-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 S US HIGHWAY 441 STE 300",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344914482",
            "telephone_number": "352-502-3525",
            "fax_number": "352-732-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6998 N US Highway 27 Ste 105-4",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344828906",
            "country_code": "US",
            "telephone_number": "352-502-3525",
            "fax_number": "352-732-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JACK",
        "middle_name": "DEEMS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "08KTA",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "90100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Eye Care LLC
• Linda Kay Fregeau
• John S Geddes III, O.D.
• Sara Ines Gitte, MD
• Gold Services
• Goldpsychology
• Anderson Carlos Goncalves, AP, DACM
• Florines Gonzalez, ARNP, FNP-BC
• Grace and Harmony
• Greater Ocala Anesthesia Associates LLC

• Clinical Psychologist in Summerfield, FL
• Providers in Summerfield, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.