Active NPI
Randy Concepcion Gonzalez, M.S PSYCHOLOGY
- Health & Wellness Coach
- North Miami, FL
National Provider Identifier
1083420301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 12550 Biscayne Blvd Ste 218
North Miami, FL 33181-2501 - Phone
- (786) 614-3425
- NPI assigned
- Dec 10, 2024
- Last updated
- Jul 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-387241 | FL | |
| Health Educator | 174H00000X | |||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | |||
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
12550 Biscayne Blvd Ste 218
North Miami, FL 33181-2501
Mailing address
12665 NE 16TH Ave Apt 7
North Miami, FL 33161-5289
Phone (786) 614-3425
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-387241 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752969600000",
"number": "1083420301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12665 NE 16TH AVE APT 7",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331615289",
"telephone_number": "786-614-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 BISCAYNE BLVD STE 218",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812501",
"telephone_number": "786-614-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION GONZALEZ",
"first_name": "RANDY",
"credential": "M.S PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-10",
"last_updated": "2025-07-20",
"certification_date": "2025-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-387241",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
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- Comprehensive Trauma and Trauma Consultants
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- Consumer Support Network, LTD. Co. (Consunet)
- Consumer Support Network,(Consunet) LTD. Co.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.