Individual provider Active NPI

Andrea Maria Gorrondona, PH.D.

  • Psychologist
  • Salina, KS
National Provider Identifier
1225680010
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03271
Practice address
730 Holly LN
Salina, KS 67401-8452
Phone
(785) 452-7396
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salina Regional Health Center Inc 160 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144

730 Holly LN
Salina, KS 67401-8452
Phone (785) 452-4930

Hospital & facility affiliations

  • Salina Regional Health Center Hospital, Salina, KS, CCN 170012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240217000188 KS Practitioner - Psychologist Billing Independently 8224472295 Reassigns benefits to 1 organization
I20251113000331 KS Practitioner - Clinical Psychologist 8224472295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center Inc CurrentSince Jan 6, 2024 Accepting new patients
Salina Regional Health Center, Inc Psychologist CurrentSince Jan 6, 2024 Accepting new patients
Salina Regional Health Center, Inc Past Accepting new patients

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

730 Holly Ln
Salina, KS 67401
Phone (785) 452-4930

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 03271 Primary

Addresses

NPPES NPI Registry

Primary practice location

730 Holly LN
Salina, KS 67401-8452

Mailing address

400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (785) 452-6113

Other practice location 1

400 S Sante Fe Ave
Salina, KS 67401
Phone (785) 452-6113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2024.

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1225680010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014144",
            "telephone_number": "785-452-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HOLLY LN",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674018452",
            "telephone_number": "785-452-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Sante Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "67401",
            "country_code": "US",
            "telephone_number": "785-452-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORRONDONA",
        "first_name": "ANDREA",
        "middle_name": "MARIA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "03271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.