Active NPI
Erick John Gonzalez, PSY.D.
- Psychologist
- Allen, TX
National Provider Identifier
1568517035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 31529
- Practice address
- 400 N Allen Dr
Suite 208
Allen, TX 75013-2555 - Phone
- (972) 727-3627
- Fax
- (972) 390-2302
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 31529 | TX | Primary |
Addresses
Primary practice location
400 N Allen Dr
Suite 208
Allen, TX 75013-2555
Mailing address
PO Box 1486
Allen, TX 75013-0024
Phone (972) 727-3627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31529 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erick Gonzalez, Psy.D. PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Allen, TX
- NPI 1679797021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568517035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1486",
"city": "ALLEN",
"state": "TX",
"postal_code": "750130024",
"telephone_number": "972-727-3627",
"fax_number": "972-390-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N ALLEN DR",
"address_2": "SUITE 208",
"city": "ALLEN",
"state": "TX",
"postal_code": "750132555",
"telephone_number": "972-727-3627",
"fax_number": "972-390-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "ERICK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "31529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.