Individual provider

Russell Gold, PH.D.

Forensic Psychologist Clinical Psychologist Family Psychologist

Russell Gold, PH.D. is a Forensic Psychologist in San Diego, CA, registered under NPI 1124236153. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4060 4TH AVE SUITE 615, San Diego, CA 92103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4060 4TH AVE SUITE 615, San Diego, CA 92103 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PSY6175 CA Forensic Psychologist primary
PSY6175 CA Clinical Psychologist
PSY6175 CA Family Psychologist

This provider holds licence PSY6175 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Forensic covers

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. NUCC Health Care Provider Taxonomy, code 103TF0200X
Behavioral Health & Social Service Providers Psychologist Forensic

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TF0200X Forensic Psychologist Forensic PSY6175 CA primary
103TC0700X Clinical Psychologist Clinical PSY6175 CA
103TF0000X Family Psychologist Family PSY6175 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124236153 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 21, 2007
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
CredentialPH.D.
Practice address 4060 4TH AVE
SUITE 615
San Diego, CA 92103
(619) 574-1694
Fax (619) 574-1649
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124236153 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 2 3 6 1 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 4 3 3 1 1

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124236153?
NPI 1124236153 is the National Provider Identifier assigned to Russell Gold, PH.D. in San Diego, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Forensic cover?
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
How do I contact Russell Gold, PH.D.?
The phone number on file with NPPES is (619) 574-1694, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1124236153 a valid number?
Yes. 1124236153 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.