Vivian D.J. Gonzalez-Diaz, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY5395 Issued in FL

Practice address

3271 NW 7TH St
Suite #203
Miami, FL 33125-4141

Phone

(786) 220-6902

Fax

(866) 726-0526

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outpatient Psy Care IncGroup PAC ID 0648282178, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• HealthSun Health Plans Network

Interoperability endpoints

• Direct secure messaging: wghvigonz@yourcarecommunity.org

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.

• Outpatient Psy Care Inc

  • Clinical Psychologist
  • Miami, FL
  • NPI 1306897954

  Clinical Neuropsychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Med-Psy Care, LLC

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1932944303
  NPD Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1184639569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 347604",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "332347604",
            "telephone_number": "305-984-8422",
            "fax_number": "305-836-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 NW 7TH ST",
            "address_2": "SUITE #203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254141",
            "telephone_number": "786-220-6902",
            "fax_number": "866-726-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-DIAZ",
        "first_name": "VIVIAN",
        "middle_name": "D.J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5395",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY5395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE#",
            "identifier": "PY5395",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aldo Gonzalez-Beicos, MD
• Sabrina C Gonzalez-Cotes
• Laura Elizabeth Gonzalez-Cruz
• Roberto Gonzalez-Cueto, PA-C
• Maria Milagros Gonzalez-Diaz, M.D.
• Denis Gonzalez-Garcia
• Rodolfo Gonzalez-Garcia, M.D.
• Maria Gonzalez-Gil, C.N.
• Mario Yosvani Gonzalez-Leyva, ARNP
• Luis E Gonzalez-Mendoza, M.D.

• Clinical Neuropsychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.