Angela Gonzalez, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

011401 Issued in NY

Practice address

100 Diplomat Dr
#5H
Mount Kisco, NY 10549-2004

Phone

(914) 218-8774

NPI assigned

Sep 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Angela Reus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1770817561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DIPLOMAT DR",
            "address_2": "#5H",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492004",
            "telephone_number": "914-218-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DIPLOMAT DR",
            "address_2": "#5H",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492004",
            "telephone_number": "914-218-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011401-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03799391",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "REUS",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Goldblum, M.D.
• Trudie Goldmann, PH. D.
• Amy Jill Goldstein, LCSW
• Rachel Lindsey Gomez, P.A.
• Nathalie Gonzalez Torres
• Neil C Goodman, M.D.
• Susan Goodman, MD
• Victoria Ellen Goodman, LCSW
• Stephanie E Gore, M.D.
• Harvey D Gorrin, MD

• Speech-Language Pathologist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.