Deborah Ann Gonzales

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Practice address

11215 W Nevada Ave
Ste C
Youngtown, AZ 85363-1244

Phone

(623) 847-8839

Fax

(623) 847-8838

NPI assigned

Jun 19, 2015

Last updated

Jul 7, 2015By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1376925883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 W SILVER SAGE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855740",
            "telephone_number": "623-847-8839",
            "fax_number": "623-847-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 W NEVADA AVE",
            "address_2": "STE C",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631244",
            "telephone_number": "623-847-8839",
            "fax_number": "623-847-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Engaging Life Center
• Engaging Life Integrated Wellness Center
• Kate Engels
• Alina Feliciano
• Marcia Feliciano
• Benjamin Handler, DPT
• Mancy Howard Jr., LPCC
• Michelle Hutchison, M.C., LPC
• Innerquest LLC
• John C. Lincoln, LLC (John C. Lincoln LifeStream at Youngtown)

• Research Study Specialist in Youngtown, AZ
• Providers in Youngtown, AZ by specialty
• Research Study Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.