Active NPI
Marshall Paul Gouze, PH.D.
- Psychologist
- Red Bluff, CA
National Provider Identifier
1962553487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY5436
- Practice address
- 1425 Montgomery Rd
Red Bluff, CA 96080-4605 - Phone
- (530) 284-7990
- Fax
- (530) 284-1073
- NPI assigned
- Jan 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY5436 | CA | Primary |
| Psychologist | 103T00000X | PY4385 | FL |
Addresses
Primary practice location
1425 Montgomery Rd
Red Bluff, CA 96080-4605
Mailing address
443 Peninsula Dr
Lake Almanor, CA 96137-9683
Phone (805) 895-1692
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5436 | CA | MD | Psychologist |
| PY4385 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962553487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 PENINSULA DR",
"city": "LAKE ALMANOR",
"state": "CA",
"postal_code": "961379683",
"telephone_number": "805-895-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 MONTGOMERY RD",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960804605",
"telephone_number": "530-284-7990",
"fax_number": "530-284-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUZE",
"first_name": "MARSHALL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY5436",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY4385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.