Dawn a Gonsalves MD Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

243827 Issued in NY

Legal business name

DAWN A GONSALVES MD PSYCHIATRY PLLC

Practice address

187 E Market St
Suite # P-800
Rhinebeck, NY 12572-1727

Phone

(646) 541-2449

Fax

(845) 340-7314

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Dawn A Gonsalves, MDNPI 1659591493

Title

President/Sole Member

Phone

(646) 541-2449

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Dawn Amanda Gonsalves, M.D.

  • Psychiatry Physician
  • Cairo, NY
  • NPI 1659591493

  NY, Psychiatry

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1962761049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 E MARKET ST",
            "address_2": "SUITE # P-800",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721727",
            "telephone_number": "646-541-2449",
            "fax_number": "845-340-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 E MARKET ST",
            "address_2": "SUITE # P-800",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721727",
            "telephone_number": "646-541-2449",
            "fax_number": "845-340-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN A GONSALVES MD PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "GONSALVES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/SOLE MEMBER",
        "authorized_official_telephone_number": "646-541-2449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "243827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Rhinebeck, NY
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.