Active NPI
Jamey Morales Gonzalez
- Speech-Language Assistant
- Virginia Gardens, FL
National Provider Identifier
1619649068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 5192
- Practice address
- 6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977 - Phone
- (305) 856-1999
- NPI assigned
- Oct 4, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 5192 | FL | Primary |
Addresses
Primary practice location
6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977
Mailing address
6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977
Phone (305) 856-1999
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 |
|---|---|---|---|
| 5192 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Therapy Center, Inc. | Single Specialty | Past | Accepting new patients |
| Beyond Therapy Team LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1619649068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 NW 36TH ST STE 105",
"city": "VIRGINIA GARDENS",
"state": "FL",
"postal_code": "331666977",
"telephone_number": "305-856-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 NW 36TH ST STE 105",
"city": "VIRGINIA GARDENS",
"state": "FL",
"postal_code": "331666977",
"telephone_number": "305-856-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES GONZALEZ",
"first_name": "JAMEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "5192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.