Active NPI
Eric Gonzales, MD
- Child & Adolescent Psychiatry Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- U1278
- Practice address
- 4900 Mueller Blvd
Austin, TX 78723-3051 - Phone
- (512) 324-0029
- NPI assigned
- Mar 23, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | U1278 | TX | Primary |
Addresses
Primary practice location
4900 Mueller Blvd
Austin, TX 78723-3051
Mailing address
1601 Trinity St
Austin, TX 78712-1765
Phone (512) 324-0029
Other practice location 1
1631 E 2nd St
Austin, TX 78702-4490
Phone (512) 472-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Clinical | Current | Accepting new patients | |
| Austin Travis County Mental Health and Mental Retardation Center | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Tri-County Clinical | Current | Accepting new patients | |
| Austin Travis County Mental Health and Mental Retardation Center | Current | Accepting new patients | |
| Texas San Marcos Treatment Center, LP | Past | Accepting new patients |
Locations
1430 Collier St
Austin, TX 78704
Phone (512) 427-4357
1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312
2410 E Riverside Dr
Ste G3
Austin, TX 78741
Phone (512) 804-3000
1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
Interoperability endpoints
- eric.gonzales.1@8363.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1750337259
Child & Adolescent Psychiatry
-
- Family Medicine Physician
- Luling, TX
- NPI 1336456227
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Austin, TX
- NPI 1053632505
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1588971477
-
- Psychiatry Physician
- San Marcos, TX
- NPI 1942290267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1760913479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 TRINITY ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121765",
"telephone_number": "512-324-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233051",
"telephone_number": "512-324-0029"
}
],
"practiceLocations": [
{
"address_1": "1631 E 2nd St",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787024490",
"country_code": "US",
"telephone_number": "512-472-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "ERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "U1278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.