Active NPI
Dov Bennett Gold, PSYD
- Psychologist
- Pasadena, CA
National Provider Identifier
1871290312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33930
- Practice address
- 130 S Euclid Ave
Pasadena, CA 91101-2446 - Phone
- (818) 287-6886
- NPI assigned
- Feb 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33930 | CA | Primary |
Addresses
Primary practice location
130 S Euclid Ave
Pasadena, CA 91101-2446
Mailing address
PO Box 1351
La Canada Flintridge, CA 91012-5351
Phone (818) 287-6886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 20, 2023 through Mar 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33930 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1871290312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1351",
"city": "LA CANADA FLINTRIDGE",
"state": "CA",
"postal_code": "910125351",
"telephone_number": "818-287-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S EUCLID AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012446",
"telephone_number": "818-287-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "DOV",
"middle_name": "BENNETT",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-15",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "33930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.