DR. KETTY PATINO GONZALEZ (NPI# 1053519900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053519900 |
Entity Type | Individual |
Full Name | DR. KETTY PATINO GONZALEZ |
Credential | PH.D. |
Practice Address |
5915 Ponce De Leon Blvd Ste 49 Coral Gables FL 33146-2435 |
Practice Telephone | 3056680355 |
Mailing Telephone | 3056680355 |
Enumeration Date | 2007-07-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | PY0005873 | FL | Behavioral Health & Social Service Providers |
X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY0005873 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497103113 | Ketty Gonzalez | Technician, Other | 12855 Sw 132nd St, Suite 207, Miami, FL 33186-7207 | 2016-06-03 |
1427277672 | Ketty M Gonzalez | Preventive Medicine | 1916 N Leg Rd, Augusta, GA 30909-4402 | 2007-04-25 |
Street Address |
5915 PONCE DE LEON BLVD STE 49 |
City | CORAL GABLES |
State | FL |
Zip Code | 33146-2435 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
Find all providers in zip 33146 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
1366854002 | Neurocortex | Clinical Neuropsychologist | 1360 S Dixie Hwy, Suite 350, Coral Gables, FL 33146-2934 | 2014-05-29 |
1821217712 | Michele Quiroga | Clinical Neuropsychologist | 2655 Lejeune Rd., Suite 530, Coral Gables, FL 33134 | 2007-04-25 |
1326699109 | Carolina Francesca Raeburn | Clinical Neuropsychologist | 2103 Coral Way Ste 405, Coral Gables, FL 33145-2630 | 2019-09-24 |
1154988996 | Center for Neuropsychology and Consciousness Pllc | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
1972811602 | Neurocognitive Rehabilitation Inc. | Clinical Neuropsychologist | 100 Miracle Mile, Suite 330, Coral Gables, FL 33134-5430 | 2010-09-15 |
1699099069 | Chiron Neuro-medical Psychology Inc | Clinical Neuropsychologist | 100 Miracle Mile, Suite 300, Coral Gables, FL 33134-5430 | 2010-03-15 |
1821322447 | Neuro Connections Inc | Clinical Neuropsychologist | 717 Ponce De Leon Blvd, Suite 327, Coral Gables, FL 33134-2060 | 2009-09-29 |
1811127400 | Katalin Eckstein | Clinical Neuropsychologist | 1550 Madruga Ave, Suite 302, Coral Gables, FL 33146-3039 | 2009-07-17 |
1598941999 | Gerardo Francisco Rodriguez-menendez | Clinical Neuropsychologist | 3119 Coral Way, Suite 200, Coral Gables, FL 33145-3209 | 2008-01-15 |
Find all providers in CORAL GABLES |
City | CORAL GABLES |
Zip Code | 33146 |
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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.