Geoffrey M Gonzales, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP118923 Issued in TX

Practice address

3110 Nogalitos Ste 105
San Antonio, TX 78225-2337

Phone

(210) 533-0257

Fax

(210) 534-0890

NPI assigned

Mar 29, 2010

Last updated

Apr 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Clarity LLCGroup PAC ID 3678916376, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/BACEDD/Endpoint/BACEDD

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.

• Mental Clarity LLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1699407429
  Medicare reassignment Care Compare group NPD
• David a Ramos M.D., P.a.

  dba R Family Medical Group

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1306199039
  Medicare reassignment NPD
• Nueva Vida Behavioral Health Associates,Inc

  • Professional Counselor
  • San Antonio, TX
  • NPI 1669565529
  Medicare reassignment
• Airrosti Rehab Centers, LLC

  • Rehabilitation Chiropractor
  • San Antonio, TX
  • NPI 1497989479
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1093030512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 NOGALITOS STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252337",
            "telephone_number": "210-533-0257",
            "fax_number": "210-534-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 NOGALITOS STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252337",
            "telephone_number": "210-533-0257",
            "fax_number": "210-534-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "GEOFFREY",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP118923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP118923",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138232",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicitas S Gonzales, M.D.
• Fidencio Gonzales, PA-C
• Fred Gonzales, LBSW
• Geneva P Gonzales
• Geoffrey Gonzales
• Gilbert Gonzales Jr., D.C.
• Guadalupe Carlos Gonzales Jr., L.AC.
• Helen C Gonzales
• Henry Gonzales
• Jaclyn Gonzales, LPC-I

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.