DR. COREY STEPHEN GONZALES (NPI# 1700079316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700079316 |
Entity Type | Individual |
Full Name | DR. COREY STEPHEN GONZALES |
Credential | PH.D. |
Practice Address |
5001 E Commercecenter Dr Ste 255 Bakersfield CA 93309 |
Mailing Address |
5001 E Commercecenter Dr Ste 255 Bakersfield CA 93309-1660 |
Practice Telephone | 6613232108 |
Enumeration Date | 2007-08-27 |
Last Update Date | 2018-12-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 14557 | CA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2920 H St, Suite 108, Bakersfield, CA 933011943 | 6618409270 | 6618647848 |
2215 Truxtun Ave Ste 255, Bakersfield, CA 933013602 | 6618409270 | 6618647848 |
Street Address |
5001 E COMMERCECENTER DR STE 255 |
City | BAKERSFIELD |
State | CA |
Zip Code | 93309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235760042 | Jovana Calvillo | Counselor | 5959 Truxtun Ave # 100, Bakersfield, CA 93309 | 2020-01-30 |
1972146090 | Lauryn A Cooper | Physician Assistant | 5060 California Ave., Suite 620, Bakersfield, CA 93309 | 2019-10-21 |
1164906814 | Emergency Physicians Urgent Care Inc | Clinic/Center | 212 Coffee Road, Bakersfield, CA 93309 | 2018-09-19 |
1497258487 | Emerald Family Medical Group Inc | Clinic/Center | 212 Coffee Rd, Bakersfield, CA 93309 | 2018-03-15 |
1508368069 | Outpatient Surgery Center LLC | Podiatrist | 5000 Commerce Drive, Suite 203, Bakersfield, CA 93309 | 2018-03-01 |
1114431012 | Milka Lara | Marriage & Family Therapist | 3628 Stockdale Hwm, Bakersfield, CA 93309 | 2017-11-30 |
1598275661 | Viviana Janet Rojas | Case Manager/Care Coordinator | 1521 Stockdale Hwy, Ste 150, Bakersfield, CA 93309 | 2017-10-03 |
1821512963 | Robert A. Spack | Family Medicine | 5129 Ming Avenue, Bakersfield, CA 93309 | 2017-07-31 |
1982125431 | Darlene Porter | Home Health Aide | 3900 Adair Ct, Bakersfield, CA 93309 | 2017-07-05 |
1700316783 | Ana Isela An | Social Worker | 5121 Stockdale Hwy # Hwym150a, Bakersfield, CA 93309 | 2017-06-13 |
Find all providers in zip 93309 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336638956 | Integrity Family Health Network | Psychologist | 5401 Business Park S Ste 124, Bakersfield, CA 93309-0714 | 2018-05-09 |
1215316229 | Mary Valenti | Psychologist | 1522 18th St Ste 300, Bakersfield, CA 93301-4433 | 2015-05-22 |
1316354475 | Michael Earl Kirk | Psychologist | 5500 Ming Ave Ste 120, Bakersfield, CA 93309-4619 | 2014-07-21 |
1255742581 | Michael Musacco | Psychologist | 5401 Business Park S Ste 126, Bakersfield, CA 93309-0714 | 2014-05-08 |
1811323793 | Lisa Cristina Welch | Psychologist | 3201 Park Bend Ct, Bakersfield, CA 93309 | 2013-09-23 |
1528409554 | Anthony Allain | Psychologist | 10703 Sunset Ranch Dr, Bakersfield, CA 93311-9162 | 2013-07-06 |
1093052748 | Karen Joy Warrick | Psychologist | 4939 Calloway Dr Ste 104, Bakersfield, CA 93312-9721 | 2013-01-14 |
1417230335 | Jeanne Card | Psychologist | 5401 Business Park S Ste 107, Bakersfield, CA 93309-0713 | 2011-09-27 |
1255561999 | Brenda Peichen Chiu | Psychologist | 9530 Hageman Rd, Ste B. #169, Bakersfield, CA 93312-3959 | 2009-07-15 |
1154524205 | Jay Edward Fisher | Psychologist | 5401 Business Park S Ste 220, Bakersfield, CA 93309-1661 | 2007-06-07 |
Find all providers in BAKERSFIELD |
City | BAKERSFIELD |
Zip Code | 93309 |
Please comment or provide details below to improve the information on DR. COREY STEPHEN 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.