Active NPI
Kaitlin Gonzales
- School Psychologist
- San Antonio, TX
National Provider Identifier
1689244485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 71120
- Practice address
- 6335 John Chapman
San Antonio, TX 78240-7824 - Phone
- (210) 557-6288
- NPI assigned
- Jun 25, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 71120 | TX | Primary |
Addresses
Primary practice location
6335 John Chapman
San Antonio, TX 78240-7824
Mailing address
6335 John Chapman
San Antonio, TX 78240-2285
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 |
|---|---|---|---|
| 71120 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1689244485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6335 JOHN CHAPMAN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 JOHN CHAPMAN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782407824",
"telephone_number": "210-557-6288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "KAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-25",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "71120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.