Isabel Gonzalez Wongvalle, PSY.D., LMHC, LMFT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10951 Issued in FL

Practice address

10691 N Kendall Dr Ste 105
Miami, FL 33176-1596

Phone

(305) 668-6018

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Insight Neurocognitive and Behavioral Center

  • Clinical Psychologist
  • Miami, FL
  • NPI 1134079668
  NPD

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1699016345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NE 191ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793969",
            "telephone_number": "786-426-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 N KENDALL DR STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761596",
            "telephone_number": "305-668-6018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9380 Sunset Dr",
            "address_2": "B-120",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733276",
            "country_code": "US",
            "telephone_number": "305-274-3172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ WONGVALLE",
        "first_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "PSY.D., LMHC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11662",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2763",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daynery Gonzalez Vergara
• Kevin Gonzalez Vicente
• Lissy Gonzalez Viera
• Kenia Gonzalez Vivero
• Milvia Gonzalez Wong
• Romina Paola Gonzalez Zambrano
• Francisco C Gonzalez-Abreu, M.D.
• Jolianne Gonzalez-Abreu, P.T.
• Mayra Gonzalez-Abreu, PHARM.D.
• Patricia Gonzalez-Abreu

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.