DR. JACQUELYN SARAH GOLA
NPI 1255861191
Psychologist - Clinical in Cherry Hill, NJ

Q: What is Jacquelyn Gola's NPI number?

The NPI number for Jacquelyn Gola is 1255861191. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Q: What is Jacquelyn Gola's specialty?

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

Q: Is Jacquelyn Gola enrolled in Medicare?

No. Jacquelyn Gola has opted out of Medicare through July 23, 2027. 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 Jacquelyn Gola was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 14, 2017Opted out of Medicare · through Jul 23, 2027

1910 MARLTON PIKE E, CHERRY HILL, NJ 08003(856) 227-9672 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jacquelyn Sarah Gola NPPES

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

DR. JACQUELYN SARAH GOLA (NPI 1255861191) is an individual clinical provider in Cherry Hill, New Jersey, licensed in New Jersey (35SI00578400) and active in the NPI registry since June 2017. She has opted out of Medicare through July 23, 2027.

NPPES Registry Identity

NPI1255861191

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACQUELYN SARAH GOLA

Location Address1910 MARLTON PIKE ECherry Hill, NJ 08003-2123

Mailing Address526 Queen St # 2Philadelphia, PA 19147-3023

Phone(856) 227-9672

Sole ProprietorNo

Enumeration DateJune 14, 2017

✔ NPI 1255861191 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 NJ · 35SI00578400

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.

1910 MARLTON PIKE E, Cherry Hill, NJ 08003

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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. Jacquelyn Sarah Gola 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 July 23, 2025 through July 23, 2027.

Opt-Out Effective DateJuly 23, 2025

Opt-Out In Effect ThroughJuly 23, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

DR. HERBERT L. COHEN D.D.S.

Dentist (General Practice)

1910 MARLTON PIKE E, STE.8
CHERRY HILL, NJ 08003

Camden County (856) 424-1200

GREGORY M. SHUPIK, D.M.D., P.A.

Dentist (Periodontics)

1910 MARLTON PIKE E, SUITE 2
CHERRY HILL, NJ 08003

Camden County (856) 428-4746

DR. BETSY FEINBERG PSY.D.

Psychologist (Clinical)

1910 MARLTON PIKE E
CHERRY HILL, NJ 08003

Camden County (856) 673-0630

DR. KURT BOMZE D.D.S.

Dentist (Pediatric Dentistry)

1910 MARLTON PIKE E, SUITE 9
CHERRY HILL, NJ 08003

Camden County (856) 424-5955

DR. THERESA SCHMITZ PHD

Psychologist (Clinical)

1910 MARLTON PIKE E
CHERRY HILL, NJ 08003

Camden County (856) 220-9672

DR. GREGORY M. SHUPIK D.M.D.

Dentist (Periodontics)

1910 MARLTON PIKE E, SUITE 2
CHERRY HILL, NJ 08003

Camden County (856) 428-4746

DR. PAUL BARTON COHEN DDS

Dentist (Oral and Maxillofacial Surgery)

1910 MARLTON PIKE E, SUITE 4
CHERRY HILL, NJ 08003

Camden County (856) 751-1808

GERALD JACOBSON DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

1910 MARLTON PIKE E, SUITE 1
CHERRY HILL, NJ 08003

Camden County (856) 424-4100

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 Jacquelyn Gola's NPI number?

The NPI number for Jacquelyn Gola is 1255861191. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Jacquelyn Gola located?

Jacquelyn Gola practices at 1910 Marlton Pike E, Cherry Hill, NJ 08003. The listed phone number is (856) 227-9672.

What is Jacquelyn Gola's specialty?

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

Is Jacquelyn Gola enrolled in Medicare?

No. Jacquelyn Gola has opted out of Medicare through July 23, 2027. 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 Jacquelyn Gola was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.