Maria J. Gonzales

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF91650 Issued in CA

Practice address

2344 Old Sonoma Rd
BLDG-H-137
Napa, CA 94559-3708

Phone

(707) 259-8676

Fax

(707) 259-8651

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1518019967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 DILLON DR",
            "address_2": "P.O. BOX 2322",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582305",
            "telephone_number": "707-257-4593",
            "fax_number": "707-257-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 OLD SONOMA RD",
            "address_2": "BLDG-H-137",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593708",
            "telephone_number": "707-259-8676",
            "fax_number": "707-259-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MARIA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF91650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gomez, OTR/L
• Anthony Gomez
• Melanie Gomez
• Nancy Gomez
• Steve Gomez
• Leslie Gonzalez Manzo
• Hermelinda Gonzalez Rivero
• Itzel Gonzalez Vargas
• Omar Gonzalez-Vega, MD
• Bianca Jeanette Gonzalez

• Marriage & Family Therapist in Napa, CA
• Providers in Napa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.