Organization Active NPI

Efrain a. Gonzalez PL

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1023434370
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3731 Issued in FL
Legal business name
EFRAIN A. GONZALEZ PL
Practice address
2730 SW 3Rd Ave Ste 202a
Miami, FL 33129-2323
Phone
(305) 218-5540
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Efrain Antonio Gonzalez, PSY.D.
Title
Owner
Phone
(305) 218-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY3731 FL Primary

Addresses

Primary practice location

2730 SW 3Rd Ave Ste 202a
Miami, FL 33129-2323

Mailing address

8589 SW 115TH PL
Miami, FL 33173-4202
Phone (305) 218-5540

Other identifiers 1

IdentifierTypeStateIssuer
767612300MedicaidFL

National Provider Directory

National Provider Directory

Locations

2730 SW 3rd Ave
#202A
Miami, FL 33129
Phone (305) 218-5540

2730 SW 3rd Ave
Ste 202A
Miami, FL 33129
Phone (305) 218-5540

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1023434370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8589 SW 115TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734202",
            "telephone_number": "305-218-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 SW 3RD AVE STE 202A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292323",
            "telephone_number": "305-218-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFRAIN A. GONZALEZ PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-218-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767612300",
            "state": "FL"
        }
    ],
    "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 Jun 9, 2014; 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.