Active NPI
Guillermo Ernesto Gonzalez Jr., PH.D
- Psychologist
- Laredo, TX
National Provider Identifier
1306912449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 23844
- Practice address
- 6826 Springfield Ave
Ste. 103a
Laredo, TX 78041-2213 - Phone
- (956) 722-3000
- Fax
- (956) 729-1947
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 23844 | TX | Primary |
| School Psychologist | 103TS0200X | 6198 | TX |
Addresses
Primary practice location
6826 Springfield Ave
Ste. 103a
Laredo, TX 78041-2213
Mailing address
6826 Springfield Ave
Ste. 103a
Laredo, TX 78041-2213
Phone (956) 722-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0334237-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23844 | TX | MD | Psychologist |
| 6198 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382832000000",
"number": "1306912449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6826 SPRINGFIELD AVE",
"address_2": "STE. 103A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412213",
"telephone_number": "956-722-3000",
"fax_number": "956-729-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6826 SPRINGFIELD AVE",
"address_2": "STE. 103A",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412213",
"telephone_number": "956-722-3000",
"fax_number": "956-729-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GUILLERMO",
"middle_name": "ERNESTO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2013-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "23844",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "6198",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334237-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.