Active NPI
Kristin Gonzalez
- Clinical Social Worker
- Rhinebeck, NY
National Provider Identifier
1881412393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KRISTIN GONZALEZ
- Doing business as
- Kristin Gonzalez Therapy
- Practice address
- 24 Pells Rd
Rhinebeck, NY 12572-3404 - Phone
- (845) 797-1517
- Fax
- (845) 797-1517
- NPI assigned
- Oct 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Gonzalez
- Title
- Owner
- Phone
- (473) 427-5655
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
24 Pells Rd
Rhinebeck, NY 12572-3404
Mailing address
24 Pells Rd
Rhinebeck, NY 12572-3404
Phone (845) 797-1517
Other names 1
- Kristin Gonzalez Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Rhinebeck, NY
- NPI 1619416989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1881412393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PELLS RD",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125723404",
"telephone_number": "845-797-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 PELLS RD",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125723404",
"telephone_number": "845-797-1517",
"fax_number": "845-797-1517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTIN GONZALEZ",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-02",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "473-427-5655"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kristin Gonzalez Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rhinebeck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.