DR. JACK DEEMS GOLD PH.D.
NPI 1831141654
Psychologist - Clinical in Summerfield, FL

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
15151 S US HIGHWAY 441 STE 300, SUMMERFIELD, FL 34491(352) 502-3525(352) 732-7333 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jan 3, 2019, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Jack Deems Gold Ph.d. NPPES

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

DR. JACK DEEMS GOLD PH.D. (NPI 1831141654) is an individual clinical provider in Summerfield, Florida, licensed in Florida (PY7209) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1831141654
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACK DEEMS GOLDCredential: PH.D.
Location Address15151 S US HIGHWAY 441 STE 300Summerfield, FL 34491-4482
Mailing Address15151 S Us Highway 441 Ste 300Summerfield, FL 34491-4482 · (352) 502-3525 · Fax (352) 732-7333
Fax(352) 732-7333
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration
NPI 1831141654 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 FL · PY7209
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.
15151 S US HIGHWAY 441 STE 300, Summerfield, FL 34491

Other Identifiers 2

Other08KTAFL · Bc/bs
Other90100FL · Bc/bs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jack Deems Gold Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062413172
PECOS Enrollment IDI20070116000328
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
248 services32 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34491 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

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

Family Medicine
15151 S US HIGHWAY 441 STE 300
SUMMERFIELD, FL 34491
Nurse Practitioner (Family)
15151 S US HIGHWAY 441 STE 300
SUMMERFIELD, FL 34491
Clinic/Center (Adult Mental Health)
15151 S US HIGHWAY 441 STE 300
SUMMERFIELD, FL 34491

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 Jack Gold's NPI number?

The NPI number for Jack Gold is 1831141654. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Jack Gold located?

Jack Gold practices at 15151 S Us Highway 441 Ste 300, Summerfield, FL 34491. The listed phone number is (352) 502-3525.

What is Jack Gold's specialty?

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

Is Jack Gold enrolled in Medicare?

Yes. Jack Gold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Gold accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jack Gold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Gold was last updated on July 21, 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.