Individual provider Active NPI

Christine Michelle Gonzalez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1801580642
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
292680 Issued in AZ
Practice address
3418 E Terrace Ave
Gilbert, AZ 85234-1721
Phone
(480) 231-9873
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 292680 AZ Primary

Addresses

Primary practice location

3418 E Terrace Ave
Gilbert, AZ 85234-1721

Mailing address

3418 E Terrace Ave
Gilbert, AZ 85234-1721
Phone (480) 231-9873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423004106 AZ Practitioner - Nurse Practitioner 0042659096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Recovery LLCGroup PAC ID 9638212301, 32 clinicians

Practice addresses (Care Compare)

4330 E University Dr
East Valley Campus
Mesa, AZ 85205-7004
Phone (480) 218-3280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
292680AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lyter Minds, LLC CurrentSince Sep 5, 2023 Accepting new patients
Partners in Recovery, LLC CurrentSince Feb 11, 2024 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients
Partners in Recovery, LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

4330 E University Dr
Mesa, AZ 85205
Phone (480) 218-3280

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1801580642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 E TERRACE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341721",
            "telephone_number": "480-231-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 E TERRACE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341721",
            "telephone_number": "480-231-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "292680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.