Brandon M Gonzalez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1813 Cardinal CT
Wheeling, IL 60090-7141

Phone

(832) 296-4260

NPI assigned

Jul 1, 2021

Last updated

Jul 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1427629393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 CARDINAL CT",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600907141",
            "telephone_number": "832-296-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 CARDINAL CT",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600907141",
            "telephone_number": "832-296-4260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Perimeter Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "60173",
            "country_code": "US",
            "telephone_number": "847-665-1992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BRANDON",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wheeling",
            "affiliation": "Y",
            "affiliationName": "Great Lakes Psychological Associates PLLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Wheeling",
            "address_1": "400 S University Ave",
            "city": "MT Pleasant",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488583170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nadia German, DMD
• Mikhail Wolf Geyer, D.M.D.
• Alexander Ginzburg, DC
• Julia Gold, BFA
• Karina Golubyants
• Maria E Gonzalez, MD
• Theresa Manriquez Gonzalez, LPN
• Victor Gonzalez, DDS
• Gordin Medical Center
• Vladimir Gordin, D.C.

• Professional Counselor in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.