Gonzales Psychological Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY27652 Issued in CA

Legal business name

GONZALES PSYCHOLOGICAL SERVICES, INC

Practice address

6851 Lennox Ave
Suite 100
Van Nuys, CA 91405-4073

Phone

(818) 900-4167

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ornella Gonzales, PSY.D.

Title

Clinical Psychologist

Phone

(818) 900-4167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1962853523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424335",
            "telephone_number": "818-900-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 LENNOX AVE",
            "address_2": "SUITE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054073",
            "telephone_number": "818-900-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALES PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ORNELLA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-900-4167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY27652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luciano Gomez
• Manuel Gomez
• Maria Gomez
• Shecid Helena Gomez
• Christine Gonzaleaz
• Adela Pearl Gonzales
• Ashley Gonzales
• Carissa Andrade Gonzales
• Daniella Gonzales
• Emily Gonzales

• Community/Behavioral Health Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.