Organization Active NPI

Kristin Gonzalez

  • Clinical Social Worker
  • Rhinebeck, NY
National Provider Identifier
1881412393
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Kristin GonzalezNPI 1619416989
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.