Active NPI
Lianne Gonzalez, PSY.D
- Psychologist
- Hialeah, FL
National Provider Identifier
1730516915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY8865
- Practice address
- 4175 W 20TH Ave
Hialeah, FL 33012-5874 - Phone
- (305) 825-0300
- NPI assigned
- Oct 2, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8865 | FL | Primary |
Addresses
Primary practice location
4175 W 20TH Ave
Hialeah, FL 33012-5874
Mailing address
2711 SW 98TH Ave
Miami, FL 33165-2620
Phone (305) 494-8934
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 |
|---|---|---|---|
| PY8865 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1730516915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 SW 98TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652620",
"telephone_number": "305-494-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 W 20TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125874",
"telephone_number": "305-825-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "LIANNE",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY8865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.