Individual provider Active NPI

Karen Suzanne Gould, PSYCHOLOGIST

  • Clinical Psychologist
  • Glen Mills, PA
National Provider Identifier
1922199371
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018218 Issued in PA
Practice address
15 Dougherty Blvd Apt R3
Glen Mills, PA 19342-1147
Phone
(610) 804-8553
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018218 PA Primary

Addresses

Primary practice location

15 Dougherty Blvd Apt R3
Glen Mills, PA 19342-1147

Mailing address

15 Dougherty Blvd Apt R3
Glen Mills, PA 19342-1147
Phone (610) 804-8553

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240830001197 PA Practitioner - Clinical Psychologist 1052850351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equilibria Mental Health ServicesGroup PAC ID 5698166783, 28 clinicians

Practice addresses (Care Compare)

105 W 3Rd St
Media, PA 19063-2401
Phone 26786136851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gould Psychological Services, P.C. CurrentSince Sep 14, 2025 Accepting new patients
Equilibria Mental Health Services CurrentSince Aug 15, 2024 Accepting new patients
Equilibria Psychological and Consultation Services, LLC Clinical PastSince Jul 30, 2011 Accepting new patients
Equilibria Mental Health of New Jersey LLC Clinical PastSince Mar 24, 2025 Accepting new patients

Locations

2004 Sproul Rd
Ste 206
Broomall, PA 19008

632 Germantown Pike
Lafayette Hill, PA 19444
Phone 26786136851

105 W Third St
Media, PA 19063
Phone (302) 223-4054

525 S 4th St
Ste 471
Philadelphia, PA 19147
Phone (215) 861-3685

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1922199371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DOUGHERTY BLVD APT R3",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421147",
            "telephone_number": "610-804-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DOUGHERTY BLVD APT R3",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421147",
            "telephone_number": "610-804-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "KAREN",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.