Ricardo Eugenio Gonsalves, ED.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC48576 Issued in CA

Practice address

1300 Nutwood Ave
Fullerton, CA 92831-3309

Phone

(714) 308-4819

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ricardo Eugenio Gonsalves Professional name

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1235261868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NUTWOOD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313309",
            "telephone_number": "714-308-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NUTWOOD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313309",
            "telephone_number": "714-308-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "RICARDO",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC48576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "GONSALVES",
            "middle_name": "EUGENIO",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melanie Gomez
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• Halie Emily Gonnella
• Camryn Gonzaga
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• Chela Gonzales
• Jazmine Alyssa Gonzales

• Marriage & Family Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.