DR. RUSSELL STUART GOLD PH.D. NPI 1124236153

NPI Information

  • NPI: 1124236153
  • Provider Name: DR. RUSSELL STUART GOLD, PH.D.
  • Classification: Psychologist - 103TF0200X
  • Specialization: Forensic
  • Entity Type: Individual
  • Address: 4060 4TH AVE
    SUITE 615
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 574-1694

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NPI Details

DR. Russell Stuart Gold, PH.D. is a forensic psychologist in San Diego, CA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. DR. Russell Stuart Gold, PH.D. NPI is 1124236153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4060 4TH AVE
SUITE 615
SAN DIEGO, CA
ZIP 92103-116
Phone: (619) 574-1694
Fax: (619) 574-1649

The enumeration date for this NPI number is 5/21/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPSY6175CALIFORNIANo
2103TF0000XPsychologistFamilyPSY6175CALIFORNIANo
3103TF0200XPsychologistForensicPSY6175CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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