MITCHELL KROUN GOLD, PH.D., P.A.


Address: 401 Corbett St Ste 300, Belleair, FL 33756-7303
Phone: 7274426007

MITCHELL KROUN GOLD, PH.D., P.A. (NPI# 1093957318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093957318
Entity Type Organization
Organization Name MITCHELL KROUN GOLD, PH.D., P.A.
Practice Address 401 Corbett St Ste 300
Belleair
FL 33756-7303
Practice Telephone 7274426007
Practice Fax Number 7274413981
Mailing Telephone 7274426007
Mailing Fax Number 7274413981
Enumeration Date 2009-04-01
Last Update Date 2009-04-01
Authorized Official Name DR. MITCHELL KROUNGOLD (PSYCHOLOGIST)
Authorized Official Telephone 7274426007
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
Behavioral Health & Social Service Providers
N 103TF0200X Psychologist
Specialization: Forensic
Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PY0002366 FL Behavioral Health & Social Service Providers

Office Location

Street Address 401 CORBETT ST STE 300
City BELLEAIR
State FL
Zip Code 33756-7303

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City BELLEAIR
Zip Code 33756

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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