Angela Gonnella, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00610000 Issued in NJ

Practice address

748 Morris Tpke Ste 209
Short Hills, NJ 07078-2617

Phone

(551) 226-9461

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Brave Minds Psychological Services

  • Clinical Psychologist
  • Scotch Plains, NJ
  • NPI 1619414885
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1104339639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MANOR CRESCENT",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "201-919-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MORRIS TPKE STE 209",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782617",
            "telephone_number": "551-226-9461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 Park Avenue",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Scotch Plains",
            "state": "NJ",
            "postal_code": "08901",
            "country_code": "US",
            "telephone_number": "908-242-3634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONNELLA",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "TP173-095",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00610000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samet Galiboglu, MD
• Justin Gasser, LPC
• Marline Ghaly
• Gold Parent Coaching
• Debra S. Goldenring, M.D.
• Good Life Center for Mental Health
• Good Talk Therapy, LLC
• Debra L Goodman, LCSW
• Robert Grabelsky, PH.D.
• Gabrielle Taylor Gross, LCSW, LCSW-C

• Psychologist in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.