Claudia Gonzalez Erigolla, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY004437 Issued in GA

Practice address

10375 Ford Ave Ste 3
Richmond Hill, GA 31324-9037

Phone

(912) 500-5800

Fax

(912) 500-2902

NPI assigned

Jul 21, 2015

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Goal Mentality LLC

  • Clinical Psychologist
  • Richmond Hill, GA
  • NPI 1376249268

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1508241522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 FORD AVE STE 3",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249037",
            "telephone_number": "912-500-5800",
            "fax_number": "912-500-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10375 FORD AVE STE 3",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313249037",
            "telephone_number": "912-500-5800",
            "fax_number": "912-500-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ERIGOLLA",
        "first_name": "CLAUDIA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2023-02-02",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY004437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiabeth Giese
• Alexandra Gipson, RBT
• Storman Glass
• Richard W Glover, OTR/L
• Goal Mentality LLC
• Connie Marie Gonzalez, MSCCC-SLP
• Melissa Ann Gonzalez
• Matthew Good, PA-C
• Catherine Corish Grant, PA-C
• George Grant, O.D.

• Psychologist in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.