Elizabeth Gonzales, CPED

Primary specialty

SpecialistTaxonomy code 174400000X

License

2253235-001 Issued in CT

Practice address

417 Storrs Rd
Mansfield Center, CT 06250-1200

Phone

(860) 456-2150

Fax

(860) 456-2150

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043234453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 STORRS RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501200",
            "telephone_number": "860-450-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STORRS RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501200",
            "telephone_number": "860-456-2150",
            "fax_number": "860-456-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ELIZABETH",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "2253235-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WILSON",
            "credential": "CPED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Gelbar, PH.D.
• Rachel Genesky
• Genoa Healthcare LLC
• James J Gilligan, DDS
• Elizabeth Gionfriddo, D.C
• Janay Gonzales, LCSW
• Amy A Gorin, PH.D.
• Thomas Harrison Gorin, M.D.
• Annemarie Govardhan, PSYD.
• Lisa Karvoski Grasso, MA

• Specialist in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.