Individual provider Active NPI

Melissa M. Gonzalez, PSY.D.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1053713735
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36687 Issued in TX
Practice address
5818 Beverlyhill St Ste 103
Houston, TX 77057-6710
Phone
(832) 392-6700
NPI assigned
Sep 24, 2014
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36687 TX Primary

Addresses

Primary practice location

5818 Beverlyhill St Ste 103
Houston, TX 77057-6710

Mailing address

5818 Beverlyhill St Ste 103
Houston, TX 77057-6710
Phone (832) 392-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 29, 2015 through Dec 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36687TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
W.I.S.E. Psychological Associates, PLLC CurrentSince May 19, 2024 Accepting new patients
Tarnow and Associates, P.a. Past Accepting new patients

Locations

5818 Beverlyhill St
Ste 103
Houston, TX 77057
Phone (832) 392-6700

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1053713735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 BEVERLYHILL ST STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576710",
            "telephone_number": "832-392-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 BEVERLYHILL ST STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770576710",
            "telephone_number": "832-392-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELISSA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.