Tania Marie Gonzalez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20834 Issued in CA

Practice address

312 W J St Ste 201
Los Banos, CA 93635-4073

Phone

(209) 826-4870

NPI assigned

Feb 17, 2009

Last updated

Jul 25, 2016By 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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1437398336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 'E' PACHECO BLVD",
            "address_2": "PMB #122",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354946",
            "telephone_number": "209-631-0373",
            "fax_number": "209-722-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W J ST STE 201",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354073",
            "telephone_number": "209-826-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TANIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gonzales
• Mia Gonzalez Mercado
• Leslie Gonzalez- Hernandez
• Jenny Gonzalez
• Martha Gonzalez, ACSW
• Yamayra Dorina Gonzalez
• Serenity Gopar
• Yashesh Goradia, MSPT
• Gregory a. Smith, D.C. a Professional Chiropractic Corporation
• Charamine Grijalva

• Clinical Psychologist in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.