Tania Gonzalez Sanchez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS02270 Issued in RI

Practice address

1075 Smith St
Providence, RI 02908-2700

Phone

(401) 369-9224

NPI assigned

Nov 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Providence Behavioral Health Associates IncGroup PAC ID 3274798236, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Providence Behavioral Health Associates Inc

  • Clinical Psychologist
  • Providence, RI
  • NPI 1023142700
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1992218382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082700",
            "telephone_number": "401-369-9224",
            "fax_number": "401-369-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082700",
            "telephone_number": "401-369-9224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Ave Barbosa",
            "address_purpose": "LOCATION",
            "city": "Catano",
            "state": "PR",
            "postal_code": "009624782",
            "country_code": "US",
            "telephone_number": "787-788-4544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ SANCHEZ",
        "first_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5934",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037847800",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jung Ho Gong
• Gabrielle Olivia Gontarek
• Catalina Dolores Gonzalez Marques, M.D.
• Alexis Gonzalez Mendez, MED, MBA
• Annmarie Gonzalez Munoz, MD
• Basilio Gonzalez
• Enrique Gonzalez, LCDP
• Iraida Gonzalez, LCSW
• Jessica Maria Gonzalez, MD
• Katie Renee Gonzalez, LCDP

• Clinical Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.