Marisa Beth Gonzales, DNP, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2024073444 Issued in TX

Practice address

8207 Mirar Pass
San Antonio, TX 78255-3313

Phone

(850) 218-4663

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By 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

Other names 1

• Dr. Marisa B Gonzales Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Texas Medical School at San Antonio, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maldonado Psychiatric AssociationGroup PAC ID 9234288499, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Maldonado Psychiatric Association

  dba Jorge Maldonado

  • Specialist
  • San Antonio, TX
  • NPI 1962656199
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1457187841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 MIRAR PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553313",
            "telephone_number": "850-218-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 MIRAR PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782553313",
            "telephone_number": "850-218-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1634 Lockhill Selma Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131929",
            "country_code": "US",
            "telephone_number": "850-218-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARISA",
        "middle_name": "BETH",
        "credential": "DNP, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2024073444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "GONZALES",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lucy Gonzales
• Marcela Barrera Gonzales, M.ED, LPC
• Marcus Anthony Gonzales, RBT-23-266695
• Maria Esmeralda Gonzales, FNP-C
• Marisa Gonzales, LPC
• Marisa Danielle Gonzales, MLS(ASCP)
• Marissa Gonzales, MA, BCBA, LBA
• Mary Laura Gonzales, MS, CCC-SLP
• Max Gonzales
• Melanie Cheth Gonzales, LCSW

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.