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DR. MITZI GOLD PHD
NPI 1093750895
Psychologist - Clinical in Honolulu, HI

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
1016 KAPAHULU AVE, HONOLULU, HI 96816(808) 737-6277(808) 732-3707 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mitzi Gold Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITZI GOLD PHD (NPI 1093750895) is an individual clinical provider in Honolulu, Hawaii, licensed in Hawaii (PSY-663) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1093750895
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MITZI GOLDCredential: PHD
Location Address1016 KAPAHULU AVEHonolulu, HI 96816-1354
Mailing Address2957 Kalakaua AveHonolulu, HI 96815-4650 · (808) 926-2052 · Fax (808) 732-3707
Phone(808) 737-6277
Fax(808) 732-3707
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 17, 2006
Last NPPES UpdateOctober 18, 2007
✔ NPI 1093750895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in HI · PSY-663
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1016 KAPAHULU AVE, Honolulu, HI 96816
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Other Identifiers 3

Medicare UPIN50315HI
Medicaid55077401HI
Medicare ID-Type Unspecified55743HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mitzi Gold Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991602930
PECOS Enrollment IDI20031217000495
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mitzi Gold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Life Master LLC
1.8 mi
Psychologist
2957 KALAKAUA AVE, SUITE 601
Honolulu, HI 96815
  • Reassigned Medicare billing, Hawaii enrollment
NPI 1083970545 (808) 737-6277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.05 typical visit price
range $60.53 – $180.05
Typical copayment $45.01 (range $15.13 – $45.01)
Most-billed visit code 99205
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitzi Gold's NPI number?

The NPI number for Mitzi Gold is 1093750895. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Mitzi Gold located?

Mitzi Gold practices at 1016 Kapahulu Ave, Honolulu, HI 96816. The listed phone number is (808) 737-6277.

What is Mitzi Gold's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mitzi Gold enrolled in Medicare?

Yes. Mitzi Gold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mitzi Gold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitzi Gold reassigns Medicare benefits to Life Master LLC (Honolulu, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitzi Gold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mitzi Gold was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.