Lynda A Gonsalves, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

220 N Lake CT
Kissimmee, FL 34743

Phone

(321) 236-3587

Fax

(321) 250-7822

NPI assigned

May 24, 2012

Last updated

Jun 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Lynda A Gonsalves-Barnes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Omega Alpha Nu Ministries

  dba OAN Mental Health Center

  • Community/Behavioral Health Agency
  • Kissimmee, FL
  • NPI 1912266347
  NPD (past)

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1093075954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N LAKE CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438100",
            "telephone_number": "321-236-3587",
            "fax_number": "321-250-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N LAKE CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34743",
            "telephone_number": "321-236-3587",
            "fax_number": "321-250-7822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Cypress St",
            "address_2": "Suite E, F, & K",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347413319",
            "country_code": "US",
            "telephone_number": "321-236-2006 x102",
            "fax_number": "321-250-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "LYNDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006262800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "GONSALVES-BARNES",
            "middle_name": "A",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karleny Gomez
• Magda Milena Gomez
• Michael Gomez, APRN
• Nikmara Gomez
• Yahaira Gonez
• Pilar R Gonzales, M.D.
• Alexander Gonzalez Avila
• Christine Nicole Gonzalez Cacho, DMD
• Yunieska Gonzalez Cangas
• Rosangela Gonzalez Dasta

• Psychologist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.