Adriana Laura Gonzalez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003162 Issued in CT

Practice address

315 Second Ave
West Haven, CT 06516-5128

Phone

(203) 514-0657

Fax

(845) 818-3500

NPI assigned

Mar 29, 2012

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychologist Adriana L Gonzalez PHD PLLC

  • Clinical Psychologist
  • West Haven, CT
  • NPI 1750823258
  Authorized official Same address or phone
• Wellness Center Psychologist Adriana L Gonzalez PHD PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Astoria, NY
  • NPI 1629344916
  NPD (past) Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1710253182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HILLCREST TER",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506128",
            "telephone_number": "845-535-9119",
            "fax_number": "845-818-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SECOND AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165128",
            "telephone_number": "203-514-0657",
            "fax_number": "845-818-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ADRIANA",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "003162",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019350",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003264",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03535733",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04675774",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Goncalo
• Bianca Gondek, MSW
• Therese Gonley, APRN
• Kishorchandra R Gonsai, MD
• Alex Gonzales-Harsha, PSYD
• Good Samaritan Home Care Solutions LLC
• Susan Goodson, M.D.
• Victoria Goralnik, PSY.D
• Lisa Michelle Gordon-Green, APRN- BC
• Rohan Anthony Gordon

• Clinical Psychologist in West Haven, CT
• Providers in West Haven, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.