Denise Dyann Gonzales, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19182 Issued in CA

Practice address

2095 W Vista Way
Suite #216
Vista, CA 92083-6027

Phone

(760) 659-9042

Fax

(760) 639-0110

NPI assigned

Mar 21, 2007

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

• Dr. Denise Dyann Rouquette Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1053437244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W VISTA WAY",
            "address_2": "SUITE #216",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836027",
            "telephone_number": "760-659-9042",
            "fax_number": "760-639-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W VISTA WAY",
            "address_2": "SUITE #216",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836027",
            "telephone_number": "760-659-9042",
            "fax_number": "760-639-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DENISE",
        "middle_name": "DYANN",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ROUQUETTE",
            "middle_name": "DYANN",
            "prefix": "DR.",
            "credential": "PSYD.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Guadalupe Gomez
• Leonor Gomez
• Monica Gomez
• Shierly Jeanette Gomez
• Zuria Gomez
• Morgan Gonzales
• Sonia Erica Gonzales
• David Patrick Gonzalez
• Isabel Gonzalez, B.A. IN SOCIOLOGY
• Sergio Gonzalez, CATC I

• Clinical Psychologist in Vista, CA
• Providers in Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.