Sandra M. Gonzalez

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1558 Issued in OR

Legal business name

SANDRA M. GONZALEZ

Practice address

1130 SW Morrison St
Suite 411
Portland, OR 97205-2234

Phone

(503) 228-0939

Fax

(503) 226-8069

NPI assigned

Apr 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sandra M. Gonzalez, PSY.D.NPI 1558411041

Title

Licensed Psychologist

Phone

(503) 228-0939

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Monica Gonzalez, PSY.D.

  • Psychologist
  • Portland, OR
  • NPI 1558411041
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1003089848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SW MORRISON ST",
            "address_2": "SUITE 411",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052234",
            "telephone_number": "503-228-0939",
            "fax_number": "503-226-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SW MORRISON ST",
            "address_2": "SUITE 411",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052234",
            "telephone_number": "503-228-0939",
            "fax_number": "503-226-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA M. GONZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-228-0939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Anne Sandquist, M.D.
• Michael Anthony Sandquist, MD
• Sandra Bigelow Enterprises, LLC
• Sandra J Krussel DO Psychiatrist LLC
• Sandra J. Krussel, DO, Psychiatrist, LLC
• Joan V Sands, LMT, LMP
• Vicki M. Sands, M.D.
• Ashley Sandsness, STUDENT, HEALTH CARE
• Ann Elizabeth Sandstedt, PT
• Katherine Sandstrom, NP

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.