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DR. DAVID GOTTESMAN PH.D.
NPI 1205929924
Psychologist - Clinical in Wellesley, MA

Active since October 02, 2006Opted out of Medicare · through Dec 1, 2027
ONE WASHINGTON STREET, SUITE 305, WELLESLEY, MA 02481(877) 499-2625(617) 244-3480 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Gottesman Ph.d. NPPES

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

DR. DAVID GOTTESMAN PH.D. (NPI 1205929924) is an individual clinical provider in Wellesley, Massachusetts, licensed in Massachusetts (2727) and active in the NPI registry since October 2006. He has opted out of Medicare through December 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205929924
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID GOTTESMANCredential: PH.D.
Location AddressONE WASHINGTON STREET, SUITE 305Wellesley, MA 02481
Mailing AddressOne Washington Street, Suite 305Wellesley, MA 02481 · (877) 499-2625 · Fax (617) 244-3480
Phone(877) 499-2625
Fax(617) 244-3480
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 12, 2012
✔ NPI 1205929924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MA · 2727✔ Licensed in RI · PS00678
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.
ONE WASHINGTON STREET, Wellesley, MA 02481
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Other Identifiers 2

Other020064MA · Value-options
OtherWO2820MA · Blue Cross/blue Shield Ma

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. David Gottesman Ph.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 December 1, 2013 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2013
Opt-Out In Effect ThroughDecember 1, 2027Opt-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 02481 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Other Providers at the Same Location NPPES 6

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

HEIDI FISCHER M.D.
Ophthalmology
ONE WASHINGTON STREET, SUITE 403
WELLESLEY, MA 02481
Norfolk County (781) 235-5100
DR. JANIS CROSBY MCKENNEY EDD
Psychologist
ONE WASHINGTON STREET, STE 211
WELLESLEY, MA 02481
Norfolk County (781) 929-2183
DR. DONNA K HOUSMAN ED.D
Psychologist (Clinical)
ONE WASHINGTON STREET, SUITE 305
WELLESLEY HILLS, MA 02481
Norfolk County (781) 237-6444
DR. ELLEN GILMAN OD
Optometrist
ONE WASHINGTON STREET, SUITE 101
WELLESLEY, MA 02481
Norfolk County (617) 332-1471
NEWTONEYE PC
Optometrist
ONE WASHINGTON STREET, SUITE 101
WELLESLEY, MA 02481
Norfolk County (617) 332-1471
LYNN WITTMAN OD
Optometrist
ONE WASHINGTON STREET, SUITE 101
WELLESLEY, MA 02481
Norfolk County (617) 332-1471

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 David Gottesman's NPI number?

The NPI number for David Gottesman is 1205929924. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is David Gottesman located?

David Gottesman practices at One Washington Street Suite 305, Wellesley, MA 02481. The listed phone number is (877) 499-2625.

What is David Gottesman's specialty?

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

Is David Gottesman enrolled in Medicare?

No. David Gottesman has opted out of Medicare through December 1, 2027. 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 David Gottesman was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.