Jorge E Gonzalez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33984 Issued in TX

Practice address

4349 Martin Luther King Blvd Health 2 BLDG Suite 1001 E
Houston, TX 77204-0001

Phone

(713) 743-9682

Fax

(713) 743-1049

NPI assigned

Apr 11, 2023

Last updated

May 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26199/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uh Health

  • Family Medicine Physician
  • Houston, TX
  • NPI 1114689320

  Clinical

  NPD
• Villagemd of Southeast Texas, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1841643327
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1881380129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 OLD YALE ST UNIT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770183314",
            "telephone_number": "817-939-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD HEALTH 2 BLDG SUITE 1001 E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772040001",
            "telephone_number": "713-743-9682",
            "fax_number": "713-743-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Guadalupe Gonzalez, MD
• Jesus E. Gonzalez, D.C.
• Jewel Nicole Gonzalez
• John Anthony Gonzalez
• Jorge Alejandro Gonzalez, D.O
• Juan M Gonzalez, MD
• Judy Gonzalez
• Julian J. Gonzalez, M.D.
• Juliana Gonzalez
• Julie Ann Gonzalez, D.C.

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.