Andrew Loran Gold, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-202435 Issued in ID

Practice address

91-1010 Shangrila St Ste 105
Kapolei, HI 96707-2176

Phone

(808) 377-4300

NPI assigned

Aug 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Behavioral Health, IncGroup PAC ID 5092040048, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Crossroads Behavioral Health, Inc.

  • Clinical Psychologist
  • Kapolei, HI
  • NPI 1013414770
  Medicare reassignment Care Compare group NPD
• Islands Hospice, Inc.

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1184932345
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1972903136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 AE ST APT 301",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073297",
            "telephone_number": "808-285-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1010 SHANGRILA ST STE 105",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072176",
            "telephone_number": "808-377-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Kamokila Blvd Ste 262",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072095",
            "country_code": "US",
            "telephone_number": "808-484-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLD",
        "first_name": "ANDREW",
        "middle_name": "LORAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ID",
            "license": "PSY-202435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Gibson, BCBA
• Karen Gillan
• Girl Genius Labs LLC
• Maria C. Glover, PA-C
• Minju Go
• Candy Gomez
• Megan Marie Goth, OTR/L
• Kiyomi Keala Goto, D.O.
• Destyni Grace
• Zachery Grace

• Psychologist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.