Natacha Ivelis Gonzalez, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

067001-1 Issued in NY

Practice address

27 Prospect Ave
Sea Cliff, NY 11579-1005

Phone

(718) 672-1705

Fax

(718) 779-2225

NPI assigned

Aug 2, 2016

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

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1164975686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PROSPECT AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791005",
            "telephone_number": "718-672-1705",
            "fax_number": "718-779-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PROSPECT AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791005",
            "telephone_number": "718-672-1705",
            "fax_number": "718-779-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NATACHA",
        "middle_name": "IVELIS",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "067001-1",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "067001-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Gabel, LMSW
• Charles A Gambino, DO
• Kristine Ann Gerold, RN
• Robert Gino, OTRL
• Susan Goldberg, R.N.
• Jacob Reuben Greebel, MSW, MSED
• Amanda Treco Hackett, MA CCC-SLP TSSLD
• Kathleen Haley, PT, DPT
• William C Hallett, PHARM.D.
• Cory Hattem

• Mental Health Counselor in Sea Cliff, NY
• Providers in Sea Cliff, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.