Melanie Gonzalez, PSYD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1908 Ajanta Ave
Rowland Heights, CA 91748-3013

Phone

(949) 381-1707

NPI assigned

Jan 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Grounded Connections Counseling Inc

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1003563123
  NPD Authorized official

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1932565165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 AJANTA AVE",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483013",
            "telephone_number": "949-381-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 AJANTA AVE",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483013",
            "telephone_number": "949-381-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELANIE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027968A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brando Gonzalez
• Diana Gonzalez
• Hugo Gonzalez
• Jessica Gonzalez
• Joana Gonzalez
• Sierra Gonzalez
• Stephanie Gonzalez
• Good Habit Childrens Foundation Inc
• Gospel Light Bible Church (Gospel Light Acupuncture)
• Grace Health Inc (Eastland Pharmacy)

• Marriage & Family Therapist in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.