JOHN M GONZALEZ (NPI# 1043395684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043395684 |
| Entity Type | Individual |
| Full Name | JOHN M GONZALEZ |
| Credential | PH.D. |
| Practice Address |
567 Vauxhall Street Ext. Suite 207 Waterford CT 06385 |
| Mailing Address |
535 Colonel Ledyard Hwy Ledyard CT 06339-1611 |
| Practice Telephone | 8602451565 |
| Mailing Fax Number | 8602455565 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043840275 | John Gonzalez Jr. | Behavior Technician | 7388 Canterbury St, Spring Hill, FL 34606-4303 | 2020-01-15 |
| 1477036770 | John Gonzalez | Technician | 2408 Alydar Cir, Las Vegas, NV 89108-3649 | 2018-09-12 |
| 1134498116 | John Raymond Gonzalez IIi | Social Worker | 70 Ne Loop 410 Ste 400, San Antonio, TX 78216-5841 | 2011-12-21 |
| 1083755730 | John Gonzalez | Pharmacist | 7 Sun Valley Ct, Northport, NY 11768-2137 | 2007-02-08 |
| 1568551083 | John Joseph Gonzalez Sr. | Dermatology | 2829 Babcock Rd Ste 629, San Antonio, TX 78229-6014 | 2006-10-12 |
| 1710906102 | John Michael Gonzalez | Dentist | 2133 Indian Rocks Rd S, Largo, FL 33774-1037 | 2006-07-18 |
| 1831613298 | John William Gonzalez Jr. | Nurse Practitioner | 809 Turnpike Ave, Clearfield, PA 16830-1232 | 2017-07-27 |
| 1376848853 | John Gonzalez | Pharmacist | 3420 Veterans Cir, Beaumont, TX 77707-2552 | 2011-01-14 |
| 1144430299 | John E Gonzalez | Dentist | 2080 Century Park E, Suite 1601, Los Angeles, CA 90067-2001 | 2007-05-23 |
| 1841402831 | John D Gonzalez | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2007-05-04 |
| Street Address |
567 VAUXHALL STREET EXT. SUITE 207 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891031381 | Katherine Ann Lewitzke | Psychologist | 6913 Fox Ln, Waterford, MI 48327-3506 | 2013-01-02 |
| 1235388836 | Katherine Lulgjuraj | Psychologist | 329 Beverly Estates Dr, Waterford, MI 48328-3674 | 2008-09-18 |
| 1245450915 | Sharon Alair Bergman | Psychologist | 4826 Rossiter Ave, Waterford, MI 48329-1755 | 2007-04-26 |
| 1962551705 | Tyanne Lynn Miskov | Psychologist | 269 Summit Dr, Waterford, MI 48328-3364 | 2007-01-10 |
| 1528173184 | John P Quarton PC | Psychologist | 7508 Pontiac Lake Rd, Waterford, MI 48327-1425 | 2006-08-21 |
| 1528174935 | Arlene B Werner | Psychologist | 567 Vauxhall Street Ext Ste 207, Waterford, CT 06385-4332 | 2006-08-21 |
| 1962480822 | Patricia Armstrong | Psychologist | 4170 Pontiac Lake Rd, Waterford, MI 48328-1254 | 2006-01-02 |
| 1063927085 | Bright Pine, Inc. | Psychologist | 6913 Fox Ln, Waterford, MI 48327-3506 | 2017-12-13 |
| 1811249063 | Rocio Margarita Linck | Psychologist | 269 Summit Dr, Waterford, MI 48328-3364 | 2012-10-12 |
| 1386782761 | Peter Hunt | Psychologist | 567 Vauxhall Street Ext, Suite218, Waterford, CT 06385-4330 | 2007-02-01 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.