Wellness Center Psychologist Adriana L Gonzalez PHD PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

019350 Issued in NY

Legal business name

WELLNESS CENTER PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC

Practice address

2415 21St Ave
Apartment 2C
Astoria, NY 11105-3344

Phone

(917) 596-0076

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Adriana Laura Gonzalez, PH.D.NPI 1710253182

Title

Psychologist

Phone

(917) 596-0076

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adriana Laura Gonzalez, PH.D.

  • Clinical Psychologist
  • West Haven, CT
  • NPI 1710253182
  NPD (past) Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1629344916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 21ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111054343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 21ST AVE",
            "address_2": "APARTMENT 2C",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053344",
            "telephone_number": "917-596-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-596-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "019350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Marcus Weiss, LMSW
• Samantha Weiss
• Paul A Weissberg, OD
• Frances Charlotte Welch
• Wellness Center Pharmacy Inc
• Wellness Medical Doctor P.C.
• John S Wen
• Meghan E. Wendelken
• Western Queens Dialysis
• Amybeth Whissel, NBHWC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Astoria, NY
• Providers in Astoria, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.