Tina Marie Gonzales

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018575 Issued in PA

Practice address

928 Jaymor Road Suite B-150
Southampton, PA 19040

Phone

(215) 584-0621

NPI assigned

Sep 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Tina Gonzales, PLLC

  • Clinical Psychologist
  • Horsham, PA
  • NPI 1063261311
  NPD Authorized official

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1336621762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HOLLY DRIVE",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "19040",
            "telephone_number": "215-584-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR ROAD SUITE B-150",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "19040",
            "telephone_number": "215-584-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paule Veronique Gnapi
• Cara Godwin, MSS, LSW
• Chelsea Zara Goldberger, LBS
• Lucy Goldstein, MT
• Scott M Goldstein, MD
• Lucy Rose Goodman, PSY.D.
• Jeffrey A Gordon, M.D.
• Danielle Nicole Gormley
• Grace Therapeutic Services LLC
• Graham Chiropractic Inc.

• Clinical Psychologist in Southampton, PA
• Providers in Southampton, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; 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.