Individual provider Active NPI

Diane Fridley Gonzales, M.D.

  • Psychiatry Physician
  • Opelousas, LA
National Provider Identifier
1992848774
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
09806R Issued in LA
Practice address
220 S Market St
Opelousas, LA 70570-5140
Phone
(337) 948-0226
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 09806R LA Primary

Addresses

Primary practice location

220 S Market St
Opelousas, LA 70570-5140

Mailing address

1525 Myrtle PL
Lafayette, LA 70506-2537
Phone (337) 261-3198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20090224000755 LA Practitioner - Psychiatry 3173688249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

220 S Market St
Opelousas, LA 70570-5140
Phone (337) 948-0226

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09806RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District CurrentSince Nov 15, 2013 Accepting new patients
Acadiana Area Human Services District CurrentSince Nov 15, 2013 Accepting new patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients
Jefferson Parish Human Services Authority PastSince Jul 24, 2022 Accepting new patients

Locations

1822 W 2nd St
Crowley, LA 70526
Phone (337) 788-7511

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

220 S Market St
Opelousas, LA 70570
Phone (337) 948-0226

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992848774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MYRTLE PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062537",
            "telephone_number": "337-261-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MARKET ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705140",
            "telephone_number": "337-948-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DIANE",
        "middle_name": "FRIDLEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "09806R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.