Active NPI
Irini Gouzos, PSY.D., M.ED.
- Psychologist
- Bethesda, MD
National Provider Identifier
1912473281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 4905 Del Ray Ave Ste 403
Bethesda, MD 20814-2557 - Phone
- (240) 685-5390
- NPI assigned
- Oct 15, 2018
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4905 Del Ray Ave Ste 403
Bethesda, MD 20814-2557
Mailing address
9710 Leatherfern Ter Apt 204
Montgomery Village, MD 20886-6333
Phone (202) 320-7050
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
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1912473281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9710 LEATHERFERN TER APT 204",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208866333",
"telephone_number": "202-320-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4905 DEL RAY AVE STE 403",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208142557",
"telephone_number": "240-685-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUZOS",
"first_name": "IRINI",
"name_prefix": "Dr.",
"credential": "PSY.D., M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.