DR. MARK A GOULD (NPI# 1811060221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811060221 |
| Entity Type | Individual |
| Full Name | DR. MARK A GOULD |
| Credential | PH D |
| Practice Address |
401 West Thames Street Southeastern Mental Health Authority Bldg 301 Norwich CT 06360 |
| Practice Telephone | 8608594674 |
| Practice Fax Number | 8608594790 |
| Mailing Telephone | 8608594674 |
| Mailing Fax Number | 8608594790 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 002277 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023278108 | Mark A Gould | Physician Assistant | 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112-4160 | 2008-06-12 |
| 1942349949 | Mark Thomas Gould | Orthopaedic Surgery | 1577 Roberts Dr Ste 225, Jacksonville Beach, FL 32250-3265 | 2007-02-06 |
| 1033127212 | Mark J Gould | Chiropractor | 800 E Woodfield Rd, Suite 116, Schaumburg, IL 60173-4717 | 2006-08-04 |
| 1740257302 | Mark David Gould | Podiatrist | 32730 Walker Rd, Suite I-3, Avon Lake, OH 44012-4100 | 2006-03-02 |
| Street Address |
401 WEST THAMES STREET SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912950213 | Eric Brysgel | Social Worker | 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 | 2006-05-18 |
| 1295149649 | Harvey William Gemme IIi | Social Worker | 401 West Thames Street, Bldg 301, Norwich, CT 06360 | 2014-06-13 |
| 1497176614 | Gina Marie Velez | Social Worker | 401 West Thames Street, Bldg 301, Norwich, CT 06360 | 2013-12-16 |
| 1215166004 | Rhonda J Labua | Social Worker | 401 West Thames Street, Bld - 301, Norwich, CT 06360 | 2009-07-14 |
| 1942476817 | John R Ward | Social Worker | 401 West Thames Street, Bldg 301 Southeastern Mental Health Authority, Norwich, CT 06360 | 2008-05-01 |
| 1346446036 | Mary A Turnquist | Counselor | 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 | 2007-06-21 |
| 1245383439 | Janet Chapman Roselle | Social Worker | 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 | 2007-01-19 |
| 1700939998 | Cheryl L Jacques | Nurse Practitioner | 401 West Thames Street, Southeastern Mental Health Authority, Norwich, CT 06360 | 2007-01-19 |
| 1437201159 | Robert A Zepf | Psychiatry & Neurology | 401 West Thames Street, Bldg 301, Norwich, CT 06360 | 2007-01-16 |
| 1104974591 | Linda Catherine Partridge | Social Worker | 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 | 2007-01-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070906 | Alfred C. Barnes IIi | Psychologist | 30 S Broad St, Norwich, NY 13815-1773 | 2010-08-10 |
| 1801921788 | Eve M. Zukowski | Psychologist | 336 Kerwin Hill Rd, Norwich, VT 05055-9309 | 2007-02-22 |
| 1396832739 | Richard A. Rablen | Psychologist | 22 Case St., Norwich, CT 06360-2215 | 2006-10-06 |
| 1235537374 | Holly Silva | Psychologist | 326 Washington St, Norwich, CT 06360-2740 | 2014-12-05 |
| 1194141259 | Daphne Mccampbell | Psychologist | 289 Main St., Norwich, VT 05055 | 2014-03-13 |
| 1801919055 | Michael Kaiser | Psychologist | 326 Washington St, Norwich, CT 06360-2740 | 2007-04-10 |
| 1164599288 | Nancy Anderson | Psychologist | 326 Washington St, William W Backus Hospital, Norwich, CT 06360 | 2006-11-30 |
| 1164599031 | Joseph Patrick Lang | Psychologist | 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 | 2006-11-29 |
| 1326117540 | Thomas Dziadosz | Psychologist | 326 Washington St, William W Backus Hospital, Norwich, CT 06360 | 2006-11-06 |
| 1356424873 | James F Odea | Psychologist | 326 Washington St, William W Backus Hospital, Norwich, CT 06360 | 2006-10-21 |
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| 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.