Organization Active NPI

Peter a Gold Psy D P a

  • Clinical Psychologist
  • Vero Beach, FL
National Provider Identifier
1841347762
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7322 Issued in FL
Legal business name
PETER A GOLD PSY D P A
Practice address
2770 Indian River Blvd FL 3
Vero Beach, FL 32960-4299
Phone
(954) 445-7152
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Dr. Peter Alexander Gold, PSY DNPI 1811921992
Title
Licensed Psychologist
Phone
(954) 445-7152

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7322 FL Primary

Addresses

Primary practice location

2770 Indian River Blvd FL 3
Vero Beach, FL 32960-4299

Mailing address

2925 Cardinal Dr Ste F
Vero Beach, FL 32963-1979
Phone (954) 445-7152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000058 FL Part B Supplier - Clinic/Group Practice 3971698465 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

450 N Park Rd
Ste 711
Hollywood, FL 33021
Phone (561) 929-4103

2770 Indian River Blvd
Fl 3
Vero Beach, FL 32960
Phone (954) 445-7152

2925 Cardinal Dr
Ste F
Vero Beach, FL 32963

2770 Indian River Blvd
Ste 322
Vero Beach, FL 32960
Phone (954) 445-7152

Practitioners & affiliated clinicians

Practitioners 1

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1841347762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CARDINAL DR STE F",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631979",
            "telephone_number": "954-445-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD FL 3",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604299",
            "telephone_number": "954-445-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A GOLD PSY D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-445-7152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.