Individual provider · NPI-1
Jason Gold, Ph.D.
Psychologist, Clinical · Armonk, NY
NPI number1134322118
StatusActive
Last updated in NPPESAug 24, 2024
Details
- NPI
- 1134322118
- Entity type
- Individual (NPI-1)
- Name
- Jason Gold
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2007
- Certification date
- Aug 24, 2024
- Last updated
- Aug 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 013611 | NY | Yes |
Practice location
4 Macdonald Ave Ste 4Armonk, NY 10504-1946
Phone 914-219-5355
Mailing address
4 Macdonald Ave Ste 4Armonk, NY 10504-1946
Phone 914-219-5355
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.