Individual provider Active NPI

Jose Gonzales

  • Psychologist
  • Powell, TN
National Provider Identifier
1689245052
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4041 Issued in TN
Practice address
7714 Conner Rd
Powell, TN 37849-3559
Phone
(865) 947-6220
Fax
(865) 512-1069
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4041 TN Primary

Addresses

Primary practice location

7714 Conner Rd
Powell, TN 37849-3559

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223003829 TN Practitioner - Clinical Psychologist 1052892577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Health SystemsGroup PAC ID 3577474295, 128 clinicians

Practice addresses (Care Compare)

2018 Western Ave
Knoxville, TN 37921-5718
Phone (423) 317-9344

538 W 5TH Ave
Knoxville, TN 37917-7408
Phone (865) 525-2104

880 Rutledge Pike
Blaine, TN 37709-2317
Phone (865) 933-4110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4041TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Feb 6, 2026 Accepting new patients
Cherokee Health Systems Psychologist CurrentSince Feb 6, 2026 Accepting new patients

Locations

880 Rutledge Pike
Blaine, TN 37709
Phone (865) 933-4110

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

538 W 5th Ave
Knoxville, TN 37917
Phone (865) 525-2104

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1689245052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 CONNER RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493559",
            "telephone_number": "865-947-6220",
            "fax_number": "865-512-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "4041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.