Individual provider Active NPI

Jamie Gonzalez, S.S.P., NCSP

  • School Psychologist
  • Miami, FL
National Provider Identifier
1003449034
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1411 Issued in FL
Practice address
9260 SW 72ND St Ste 203
Miami, FL 33173-3255
Phone
(786) 376-1094
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1411 FL Primary

Addresses

Primary practice location

9260 SW 72ND St Ste 203
Miami, FL 33173-3255

Mailing address

5900 SW 93Rd PL
Miami, FL 33173-1565
Phone (786) 376-1094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS1411FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Evaluations LLC School CurrentSince Apr 26, 2020 Accepting new patients

Locations

9260 Sunset Dr
Ste 203
Miami, FL 33173
Phone (305) 275-2318

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1003449034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SW 93RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731565",
            "telephone_number": "786-376-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SW 72ND ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733255",
            "telephone_number": "786-376-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JAMIE",
        "credential": "S.S.P., NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.