Individual provider Active NPI

Abel A Gonzalez, MD

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1962445940
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD041390E Issued in PA
Practice address
2299 Brodhead Rd
Suite N
Bethlehem, PA 18020-8908
Phone
(610) 882-2052
Fax
(610) 882-2054
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MD041390E PA
Prescribing (Medical) Psychologist 103TP0016X MD041390E PA
Psychiatry Physician 2084P0800X MD041390E PA Primary

Addresses

Primary practice location

2299 Brodhead Rd
Suite N
Bethlehem, PA 18020-8908

Mailing address

2299 Brodhead Rd
Bethlehem, PA 18020-8908
Phone (610) 882-2052

Other identifiers 4

IdentifierTypeStateIssuer
01950901OtherPACAPITAL BLUE CROSS
0011766350001MedicaidPA
596171OtherPAHIGHMARK BLUE SHIELD
P853356OtherPAOXFORD HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000303 PA Practitioner - Psychiatry 0143129973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2299 Brodhead Rd
Suite N
Bethlehem, PA 18020-8990

2299 Brodhead Rd N
Bethlehem, PA 18020-8990
Phone (610) 882-2052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD041390EPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abel a. Gonzalez, MD.PC CurrentSince Sep 25, 2003 Accepting new patients
Hispanic American Organization CurrentSince Jan 3, 2020 Accepting new patients
Life Guidance, LLC CurrentSince Nov 1, 2020 Accepting new patients
Pennsylvania Assessment Consultants for Co Occurring Disorders LLC Past Accepting new patients
Berks Counseling Center, Inc. PastSince Apr 6, 2016 Accepting new patients
Berks Counseling Center, Inc. PastSince Jul 24, 2022 Accepting new patients
New Directions Treatment Services PastSince Jun 7, 2010 Accepting new patients

Locations

462 W Walnut St
Allentown, PA 18102
Phone (610) 351-2292

1685 Valley Center Pkwy
Bethlehem, PA 18017
Phone (610) 867-8760

2299 Brodhead Rd
Bethlehem, PA 18020
Phone (610) 882-1501

2299 Brodhead Rd
Ste N
Bethlehem, PA 18020
Phone (484) 368-9275

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1962445940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208908",
            "telephone_number": "610-882-2052",
            "fax_number": "610-882-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BRODHEAD RD",
            "address_2": "SUITE N",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208908",
            "telephone_number": "610-882-2052",
            "fax_number": "610-882-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ABEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "MD041390E",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "PA",
            "license": "MD041390E",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD041390E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01950901",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011766350001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "596171",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P853356",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.