Ariel Gonzales Psychiatric NP, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

8566732-0162 Issued in UT

Legal business name

ARIEL GONZALES PSYCHIATRIC NP, PLLC

Practice address

5691 S Redwood Rd
BLDG 16, Ste 1B
Taylorsville, UT 84123-5420

Phone

(801) 746-7190

Fax

(866) 284-3243

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Ariel Gonzales, APRNNPI 1639409089

Title

Owner

Phone

(801) 746-7190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ariel Henrie Gonzales, MSN, APRN, P/MHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Taylorsville, UT
  • NPI 1639409089
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1366860777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 S REDWOOD RD",
            "address_2": "BLDG 16, STE 1B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235420",
            "telephone_number": "801-746-7190",
            "fax_number": "866-284-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 S REDWOOD RD",
            "address_2": "BLDG 16, STE 1B",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235420",
            "telephone_number": "801-746-7190",
            "fax_number": "866-284-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL GONZALES PSYCHIATRIC NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-746-7190",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "8566732-0162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addisen Ardelean
• Leslie Ardiano
• Khiara Arellano
• Javier Argueta
• McKenzie Argyle
• Amy Armstrong
• Annie Arnold
• Benjamin Arnold
• Phillip Booth Arnold, PT
• Shannon Lee Arnold, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.