Individual provider Active NPI

Jose Gonzalez, PYCHOLOGIST

  • Counseling Psychologist
  • Cidra, PR
National Provider Identifier
1447664842
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5318 Issued in PR
Practice address
Barcelo #12 Esq 173
Cidra, PR 00739-0000
Phone
(787) 739-2054
NPI assigned
Jun 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5318 PR Primary

Addresses

Primary practice location

Barcelo #12 Esq 173
Cidra, PR 00739-0000

Mailing address

Box 114
Aibonito, PR 00705-0114
Phone (787) 378-4112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208001866 PR Practitioner - Clinical Psychologist 0547650426 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5318PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp CurrentSince Sep 7, 2021 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Sep 7, 2021 Accepting new patients
Instituto Psicoterapeutico de PR PastSince Sep 7, 2021 Accepting new patients
Grupo Medico Centro Medicina Especializada Past Accepting new patients

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1447664842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 114",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050114",
            "telephone_number": "787-378-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARCELO #12 ESQ 173",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390000",
            "telephone_number": "787-739-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE",
        "credential": "PYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.