Scott H. Gonzalez, M.D.
Individual provider Active NPI Psychiatry Physician · Clinton, MA
NPI 1477532224 · NPPES record last updated Nov 22, 2020
Key facts
- NPI
- 1477532224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 74550 (MA)
- Practice address
- 201 Highland St
Clinton, MA 01510-1037 - Phone
- (978) 368-3799
- Fax
- (978) 368-3877
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Geriatric Psychiatry
- Education
- University of Massachusetts Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
201 Highland St
Suite B
Clinton, MA 01510-1037
Phone (978) 368-3731
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040904000084 | MA | Practitioner - Geriatric Psychiatry |
8729054333 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Psychiatry | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients | |
| Umass Memorial Healthalliance Clinton Hospital Inc | Past | Accepting new patients |
Locations
201 Highland St
Clinton, MA 01510
Phone (508) 421-1400
72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- sgonzalez22769@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 74550 | MA | Yes |
Addresses
Primary practice location
201 Highland St
Clinton, MA 01510-1037
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
72 Jacques Ave
Worcester, MA 01610-2476
Phone (508) 860-1154
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110054476A | Medicaid | MA | |
| J1462201 | Other | MA | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sgonzalez22769@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Other providers in Clinton, MA
- Flaminiano,Melquiades&Sinha MDS PC
- Marc Gagnier
- Brett Gannon
- Pamela Gaw
- Michael Arthur Gillis
- Gracious Care Agency LLC
- Kaitlin T Guillemette
- Marylyn Ha-Trinh
- Donald James Hager III
- Julie Person Hailey
All providers in Clinton, MA · Psychiatry Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.