DR. MICHAEL G.S. GOTTFRIED PH.D.
NPI 1790994309
Psychologist in Town And Country, MO

Active since May 21, 2007Opted out of Medicare · through Feb 1, 2028
14377 WOODLAKE DR STE 315, TOWN AND COUNTRY, MO 63017(314) 304-3707 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael G.s. Gottfried Ph.d. NPPES

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

DR. MICHAEL G.S. GOTTFRIED PH.D. (NPI 1790994309) is an individual psychologist in Town And Country, Missouri, licensed in Missouri (2002021877) and active in the NPI registry since May 2007. He has opted out of Medicare through February 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790994309
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL G.S. GOTTFRIEDCredential: PH.D.
Location Address14377 WOODLAKE DR STE 315Town And Country, MO 63017-5735
Mailing Address14377 Woodlake Dr Ste 315Town And Country, MO 63017-5735 · (314) 304-3707
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJanuary 9, 2019
NPI 1790994309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2002021877
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
14377 WOODLAKE DR STE 315, Town And Country, MO 63017

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. Michael G.s. Gottfried 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 February 1, 2016 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2016
Opt-Out In Effect ThroughFebruary 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.

Other Providers at the Same Location NPPES 2

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

Psychologist
14377 WOODLAKE DR STE 315
TOWN AND COUNTRY, MO 63017
Psychologist
14377 WOODLAKE DR STE 315
TOWN AND COUNTRY, MO 63017

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 Michael Gottfried's NPI number?

The NPI number for Michael Gottfried is 1790994309. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Michael Gottfried located?

Michael Gottfried practices at 14377 Woodlake Dr Ste 315, Town And Country, MO 63017. The listed phone number is (314) 304-3707.

What is Michael Gottfried's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Gottfried enrolled in Medicare?

No. Michael Gottfried has opted out of Medicare through February 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 Michael Gottfried was last updated on January 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.