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DR. PETER GOULD
NPI 1184890204
Psychologist - Clinical in Fairfax, VA

Active since May 08, 2008Opted out of Medicare · through Jan 1, 2028
10615 JUDICIAL DR, 102, FAIRFAX, VA 22030(703) 346-0837 Get Directions Write a Review

NPPES record last updated: May 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Gould NPPES

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

DR. PETER GOULD (NPI 1184890204) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810003885) and active in the NPI registry since May 2008. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184890204
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PETER GOULD
Location Address10615 JUDICIAL DR, 102Fairfax, VA 22030-7501
Mailing Address10615 Judicial Dr, 102Fairfax, VA 22030-7501
Phone(703) 346-0837
Sole ProprietorYes
Enumeration DateMay 8, 2008
Last NPPES UpdateMay 7, 2010
✔ NPI 1184890204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810003885
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 0810003885 (VA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 0810003885 (VA)
10615 JUDICIAL DR, Fairfax, VA 22030
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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. Peter Gould 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
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Peter Gould's NPI number?

The NPI number for Peter Gould is 1184890204. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Peter Gould located?

Peter Gould practices at 10615 Judicial Dr 102, Fairfax, VA 22030. The listed phone number is (703) 346-0837.

What is Peter Gould's specialty?

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

Is Peter Gould enrolled in Medicare?

No. Peter Gould 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. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Peter Gould was last updated on May 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.