DR. TINA MARIE GONZALES (NPI# 1336621762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336621762 |
| Entity Type | Individual |
| Full Name | DR. TINA MARIE GONZALES |
| Practice Address |
928 Jaymor Road Suite B-150 Southampton PA 19040 |
| Mailing Address |
116 Holly Drive Hatboro PA 19040 |
| Practice Telephone | 2155840621 |
| Mailing Telephone | 2155840621 |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2018-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS018575 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020255 | Tina Marie Gonzales | Nurse Practitioner | 811 Saint Michaels Dr, Santa Fe, NM 87505-7641 | 2017-05-17 |
| 1053766527 | Tina Marie Gonzales | Licensed Vocational Nurse | 17695 Industrial Farm Rd, Bakersfield, CA 93308-9520 | 2016-05-03 |
| 1326344821 | Tina Christine Gonzales | Counselor | 15600 Redmond Way Ste 101, Redmond, WA 98052-3862 | 2011-01-31 |
| Street Address |
928 JAYMOR ROAD SUITE B-150 |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 19040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467908780 | Horizon House, Inc. | Community/Behavioral Health | 419 W County Line Road, Hatboro, PA 19040 | 2016-08-28 |
| 1699180190 | Jeanette I Frye | Counselor | 2935 Byberry Rd, Suite 108, Hatboro, PA 19040 | 2014-06-24 |
| 1215247119 | Karen Virginia Johnson | Physical Therapist | 319 W. County Line Rd., Hatboro, PA 19040 | 2010-10-14 |
| 1922252048 | Harris Bob Brody | Nutritionist | 655 West County Line Rd., Hatboro, PA 19040 | 2008-11-17 |
| 1407010861 | Pamela A Heyman | Counselor | 2935 Byberry Rd, Hatboro, PA 19040 | 2008-07-15 |
| 1992968044 | Jane A Griffith | Dentist | 41 Byberry Ave Suite 2, Hatboro, PA 19040 | 2008-07-09 |
| 1295993335 | Dena Cheryl Sloane | Pediatrics | 483 E. County Line Rd, Hatboro, PA 19040 | 2008-05-27 |
| 1215138763 | Thomas C Barber | Dentist | 77 Byberry Rd, Thomas C Barber Dmd, Hatboro, PA 19040 | 2007-05-31 |
| 1154446789 | Frank David Potera | Chiropractor | 14 Maple Ave, Suite B, Hatboro, PA 19040 | 2007-03-20 |
| 1992837876 | Jeanne Marie Coviello | Occupational Therapist | 3485 Davisville Road, Hatboro, PA 19040 | 2007-03-09 |
| Find all providers in zip 19040 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174780258 | Joseph G. Rosenfeld | Psychologist | 43 Springwood Dr, Southampton, PA 18966-3054 | 2008-05-17 |
| 1740318039 | Elene Jessica Costuck | Psychologist | 168 Hill St, Southampton, NY 11968-5310 | 2007-03-01 |
| 1841339397 | Kathleen M. Dillon | Psychologist | 139 Fomer Rd, Southampton, MA 01073-9516 | 2007-02-05 |
| 1013926583 | Southampton Psychiatric Associates PC | Psychologist | 1111 Street Rd, Suite 312, Southampton, PA 18966-4250 | 2006-08-05 |
| 1811924038 | Fred Larry Dorfman | Psychologist | 707 Lakeside Park, Southampton, PA 18966-4020 | 2006-06-26 |
| 1275531634 | Steven R. Cohen | Psychologist | 967 Street Rd, Southampton, PA 18966-4728 | 2005-07-11 |
| 1285157172 | Jennifer Rebekah Nowak | Psychologist | 928 Jaymor Rd Ste B-150, Southampton, PA 18966-3853 | 2017-07-21 |
| 1104287564 | Lifespan Counseling Center LLC | Psychologist | 729 Grove Ave, Suite 3, Southampton, PA 18966-6008 | 2016-03-14 |
| 1417314758 | Deborah Meyrowitz Weiss LLC | Psychologist | 1111 Street Rd, Suite 101, Southampton, PA 18966-4250 | 2016-01-18 |
| 1063814283 | Megan Dufford | Psychologist | 928 Jaymor Rd Ste C-120, Southampton, PA 18966-3835 | 2014-09-18 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 19040 |
Please comment or provide details below to improve the information on DR. TINA MARIE GONZALES.
| 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.