Maria Carmen V Gonzales-Vigilar, MD, MS

Key facts

NPI

1649217571

Entity type

Individual (NPI type 1)

Primary specialty

Child & Adolescent Psychiatry Physician 2084P0804X

License

0101240546 (VA)

Practice address

44031 Pipeline Plaza
Ste 205
Ashburn, VA 20147

Phone

(571) 291-2449

Fax

(571) 291-3681

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

Organizations & group practices 6

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.

• M Gonzales-Vigilar PC Psychiatry Physician · Sterling Heights, MI · NPI 1225040934
  NPD (past) Authorized official PSYCHIATRY
• Gonzales-Vigilar Psychiatric Services Psychiatry Physician · Ashburn, VA · NPI 1568886109
  NPD (past) PSYCHIATRY
• Carol a. Roekle, M.D., P.C. Mental Health Clinic/Center (Including Community Mental Health Center) · Farmington Hills, MI · NPI 1659419257
  NPD (past)
• Catholic Social Services of Oakland County Clinical Social Worker · Pontiac, MI · NPI 1942242615
  NPD (past)
• Counseling Associates Inc Mental Health Counselor · West Bloomfield, MI · NPI 1629069471
  NPD (past)
• Hani Mekhael MD PLLC Psychiatry Physician · Sterling Heights, MI · NPI 1346437597
  NPD (past) PSYCHIATRY

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Opted out of Medicare

Yes, effective Apr 19, 2016 through Apr 19, 2028

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maria.gonzales-vigilar.1@18773.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2015.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1649217571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44031 PIPELINE PLZ",
            "address_2": "STE 205",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475887",
            "telephone_number": "571-291-2449",
            "fax_number": "571-291-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44031 PIPELINE PLAZA",
            "address_2": "STE 205",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "571-291-2449",
            "fax_number": "571-291-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES-VIGILAR",
        "first_name": "MARIA CARMEN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301077025",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301077025",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101240546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540682401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

• Andrew Scott Goldstein, CF-SLP
• Ana Goncalves, M.A., MS
• Olga Goncharov, M.A., CCC-SLP
• Gauthami Gondy, M.D
• Gonzales-Vigilar Psychiatric Services
• Jose Noel Policarpio Gonzalez, CFNP
• Leanne Good
• Goose Creek Village Dental
• Brunella Gordillo
• Carol Ann Gordon Delooper, APN, FNP-BC

All providers in Ashburn, VA · Child & Adolescent Psychiatry Physician in Virginia