Lauren Lynne Gonzales, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023034 Issued in NY

Practice address

1 South Ave
Garden City, NY 11530-4213

Phone

(315) 992-8318

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 18, 2019 through Nov 18, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Riggs Psychology PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1447753819
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1154966927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 S PORTLAND AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171373",
            "telephone_number": "702-768-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304213",
            "telephone_number": "315-992-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Gold St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112011503",
            "country_code": "US",
            "telephone_number": "315-992-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "LAUREN",
        "middle_name": "LYNNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Goldstein, D.O.
• Michael Vincent Golia, M.D.
• Tara Dawn Golio, MS, OTR L
• John L Gomes, M.D.
• Peter Gomez, DPT
• Doris Gonzalez, PT, DPT
• Julie S.R. Gonzalez, M.D.
• Tyra Denine Gonzalez, LCSW
• Alan Mitchell Goodman, PH,D.
• Mark A Goodman, MD

• Clinical Psychologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.