Individual provider Active NPI

Cheryl Ann Gould, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1942322110
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9412499 Issued in FL
Practice address
6275 Sand Lake Vista Dr Apt 5229
Orlando, FL 32819-3537
Phone
(917) 371-3480
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00048200 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402073-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9412499 FL Primary

Addresses

Primary practice location

6275 Sand Lake Vista Dr Apt 5229
Orlando, FL 32819-3537

Mailing address

6275 Sand Lake Vista Dr Apt 5229
Orlando, FL 32819-3537
Phone (917) 371-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161214000258 NY Practitioner - Nurse Practitioner 7113207903 Reassigns benefits to 2 organizations
I20250217001982 NJ Practitioner - Nurse Practitioner 7113207903

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpresent Psychiatry PCGroup PAC ID 4981081601, 14 clinicians

Practice addresses (Care Compare)

350 W 42ND St
Apt 37G
New York, NY 10036-6959
Phone (212) 564-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9412499FLMDPsychiatric/Mental Health Nurse Practitioner
F402073-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rappore Medicine NJ PC CurrentSince Dec 22, 2024 Accepting new patients
Inpresent Psychiatry PC CurrentSince Jun 1, 2022 Accepting new patients
Sus Mental Health Programs, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Rappore Medicine PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1125 Fulton St
Ste 2
Brooklyn, NY 11238
Phone (347) 226-9025

463 Fashion Ave
Fl 17
New York, NY 10018
Phone 64656558165816

305 7th Ave
Fl 7
New York, NY 10001

Interoperability endpoints

  • Direct secure messaging: cheryl.gould.1@25072.direct.athenahealth.com

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1942322110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 SAND LAKE VISTA DR APT 5229",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193537",
            "telephone_number": "917-371-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 SAND LAKE VISTA DR APT 5229",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193537",
            "telephone_number": "917-371-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00048200",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402073-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9412499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.