Active NPI
Mayu Gonzales, M.D.
- Child & Adolescent Psychiatry Physician
- New York, NY
National Provider Identifier
1831445543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 127069
- Practice address
- 500 E 83Rd St
2J
New York, NY 10028-7243 - Phone
- (212) 734-1442
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 127069 | NY | Primary |
Addresses
Primary practice location
500 E 83Rd St
2J
New York, NY 10028-7243
Mailing address
500 E 83Rd St
2J
New York, NY 10028-7243
Phone (212) 734-1442
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127069 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1831445543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E 83RD ST",
"address_2": "2J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287243",
"telephone_number": "212-734-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 83RD ST",
"address_2": "2J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287243",
"telephone_number": "212-734-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "MAYU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "127069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Ma Elena Gonzales, OTR/L
- Margo Gonzales, PT, DPT
- Marguerita Gonzales, MD
- Maria Consuelo Baquiran Gonzales, P.T.
- Mary Jane N Gonzales, PHD, BCDNM, BCHHP
- Nadia Gonzales, LMSW
- Adrian Jose Gonzalez Aguirre, M.D.
- Luisa Fernanda Lorena Edith Gonzalez Ballesteros, M.D.
- Eduardo Gonzalez Barreda, MD
- Oscarina Maria Gonzalez Batista, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.