Active NPI
Sylvia Gonzalez, M.D.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1114115078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M7221
- Practice address
- 6560 Fannin St Ste 1878
Houston, TX 77030-2752 - Phone
- (713) 441-3800
- Fax
- (713) 793-1015
- NPI assigned
- Oct 4, 2007
- Last updated
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M7221 | TX | Primary |
Addresses
Primary practice location
6560 Fannin St Ste 1878
Houston, TX 77030-2752
Mailing address
6560 Fannin St Ste 1878
Houston, TX 77030-2752
Phone (713) 441-3800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BN510 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| P00761750 | Other | TX | MEDICARE RAILROAD |
| 189746401 | Medicaid | TX | |
| 189746402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 28, 2021 through Dec 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Organization | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Neurological Surgery Physician
- Houston, TX
- NPI 1497776017
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1114115078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6560 FANNIN ST STE 1878",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302752",
"telephone_number": "713-441-3800",
"fax_number": "713-793-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 FANNIN ST STE 1878",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302752",
"telephone_number": "713-441-3800",
"fax_number": "713-793-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "SYLVIA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M7221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "8BN510",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00761750",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189746401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189746402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.