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 is a Psychiatry Physician 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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