DR. BRADY GOSS PSY.D.
NPI 1174251201
Psychologist - Clinical in Fullerton, CA

Q: What is Brady Goss's NPI number?

The NPI number for Brady Goss is 1174251201. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Q: What is Brady Goss's specialty?

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

Q: Is Brady Goss enrolled in Medicare?

No. Brady Goss has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Brady Goss was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 08, 2022Opted out of Medicare · through Jan 1, 2028

110 E WILSHIRE AVE STE G4, FULLERTON, CA 92832(562) 944-0351 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brady Goss Psy.d. NPPES

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

DR. BRADY GOSS PSY.D. (NPI 1174251201) is an individual clinical provider in Fullerton, California, licensed in California (PSY26424) and active in the NPI registry since August 2022. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1174251201

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRADY GOSSCredential: PSY.D.

Location Address110 E WILSHIRE AVE STE G4Fullerton, CA 92832-1960

Mailing Address110 E Wilshire Ave Ste G4Fullerton, CA 92832-1960 · (562) 944-0351

Phone(562) 944-0351

Sole ProprietorYes

Enumeration DateAugust 8, 2022

Last NPPES UpdateAugust 9, 2022

NPPES CertifiedAugust 9, 2022

✔ NPI 1174251201 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 CA · PSY26424

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.

110 E WILSHIRE AVE STE G4, Fullerton, CA 92832

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brady Goss Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATHAN PARK FARREY PSYD

Psychologist (Clinical)

110 E WILSHIRE AVE STE G4
FULLERTON, CA 92832

Orange County (657) 341-2598

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 Brady Goss's NPI number?

The NPI number for Brady Goss is 1174251201. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Brady Goss located?

Brady Goss practices at 110 E Wilshire Ave Ste G4, Fullerton, CA 92832. The listed phone number is (562) 944-0351.

What is Brady Goss's specialty?

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

Is Brady Goss enrolled in Medicare?

No. Brady Goss has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brady Goss was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.