Psychologist Adriana L Gonzalez PHD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC

Practice address

315 Second Ave
West Haven, CT 06516-5128

Phone

(203) 514-0657

Fax

(845) 818-3500

NPI assigned

Nov 15, 2016

Organization subpart

Yes

Parent organization

PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLCAs reported in NPPES

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

Authorized official

Name

Adriana Laura Gonzalez, PHD

Title

Clinical Psychologist

Phone

(203) 514-0657

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Psychologist Adriana L Gonzalez PHD PLLC

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1750823258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [
        {
            "address_1": "Benigno Macias 436",
            "address_purpose": "LOCATION",
            "city": "Adrogue",
            "state": "Buenos Aires",
            "postal_code": "01846",
            "country_code": "AR",
            "telephone_number": "113-014-2308",
            "fax_number": "845-818-3500",
            "country_name": "Argentina",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC",
        "enumeration_date": "2016-11-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "203-514-0657",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03535733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.