Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gotham Psychiatric PC

Organization Psychiatry Physician · NPI 1306399951

Gotham Psychiatric PC provides Psychiatry Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5419 Hollywood Blvd Ste C172
Los Angeles, CA 90027-3480
Phone: (213) 814-0040
Fax: (917) 338-1381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G141046 (CA)

Record details

NPI number1306399951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Golder — President · (213) 814-0040
NPI enumeratedAugust 1, 2016
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020
Mailing address600 N Brand Blvd Ste 640, Glendale, CA 91203-4215

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