Elena Veronica Gonzales, PH.D.
Individual provider Active NPI Clinical Psychologist · Point Richmond, CA
NPI 1104095819 · NPPES record last updated Mar 28, 2012
Key facts
- NPI
- 1104095819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY 20826 (CA)
- Practice address
- 1160 Brickyard Cove Rd
Schooner BLDG. Suite 200
Point Richmond, CA 94801-4107 - Phone
- (510) 965-3920
- Fax
- (510) 439-4150
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 20826 | CA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 20826 | CA | Yes |
Addresses
Primary practice location
1160 Brickyard Cove Rd
Schooner BLDG. Suite 200
Point Richmond, CA 94801-4107
Mailing address
PO Box 70612
Richmond, CA 94807-0612
Phone (510) 965-3920
Other names
- Mrs. Elena Veronica Sutinen
Other providers in Point Richmond, CA
- Suellen Barnett
- Gloria Maria Contreras
- Clay Paul David
- Curt T Le
- Carol S Lettko
- Magencia Samson Maramba
- Taren Pannu
- Point Richmond Optometry
All providers in Point Richmond, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.