Active NPI
Tomas Gonzalez-Forestier, PH.D.
- Clinical Psychologist
- Knoxville, IA
National Provider Identifier
1629185038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00469
- Practice address
- 1515 W Pleasant St
116B
Knoxville, IA 50138-3399 - Phone
- (641) 842-3101
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00469 | IA | Primary |
Addresses
Primary practice location
1515 W Pleasant St
116B
Knoxville, IA 50138-3399
Mailing address
1515 W Pleasant St
116B
Knoxville, IA 50138-3399
Phone (641) 842-3101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00469 | Other | IA | PSYCHOLOGY LICENSE |
| 00219 | Other | IA | HSP IN PSYCHOLOGY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629185038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W PLEASANT ST",
"address_2": "116B",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "501383399",
"telephone_number": "641-842-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W PLEASANT ST",
"address_2": "116B",
"city": "KNOXVILLE",
"state": "IA",
"postal_code": "501383399",
"telephone_number": "641-842-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-FORESTIER",
"first_name": "TOMAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "00469",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HSP IN PSYCHOLOGY",
"identifier": "00219",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, IA
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.