Individual provider Active NPI

Laura Gonzalez, MD

  • Psychiatry Physician
  • Kissimmee, FL
National Provider Identifier
1356908867
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME164211 Issued in FL
Practice address
3236 N Poinciana Blvd
Kissimmee, FL 34746-4688
Phone
(407) 262-2220
Fax
(407) 834-5011
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME164211 FL Primary

Addresses

Primary practice location

3236 N Poinciana Blvd
Kissimmee, FL 34746-4688

Mailing address

3236 N Poinciana Blvd
Kissimmee, FL 34746-4688
Phone (407) 262-2220

Other practice location 1

355 Bard Ave
Department of Psychiatry, 1st Floor
Staten Island, NY 10310-1699
Phone (718) 818-4121

Other practice location 2

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (941) 776-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102002159 FL Practitioner - Psychiatry 6204363245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

3236 N Poinciana Blvd
Kissimmee, FL 34746-4688
Phone (407) 635-5954

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164211FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Dec 18, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Dec 18, 2024 Accepting new patients
La Amistad Residential Treatment Center LLC Psychiatry CurrentSince Dec 23, 2024 Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

3236 N Poinciana Blvd
Kissimmee, FL 34746
Phone (321) 542-3786

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

6601 Central Florida Pkwy
Orlando, FL 32821
Phone (407) 370-0111

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1356908867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 N POINCIANA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464688",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 N POINCIANA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464688",
            "telephone_number": "407-262-2220",
            "fax_number": "407-834-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Bard Ave",
            "address_2": "Department of Psychiatry, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103101699",
            "country_code": "US",
            "telephone_number": "718-818-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "941-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME164211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.