MR. DAVID M GONZALEZ (NPI# 1861881583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861881583 |
| Entity Type | Individual |
| Full Name | MR. DAVID M GONZALEZ |
| Credential | M.S., CCC-SLP, TSSLD |
| Practice Address |
991 Main St Ste 102 Holbrook NY 11741-1608 |
| Mailing Address |
204 Village Dr Apt B Ridge NY 11961-8229 |
| Practice Telephone | 5163696691 |
| Mailing Telephone | 5163696691 |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 024078-1 | NY | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CLINICAL COMPETENCE | 14056528 | 01 | |
| NY | NEW YORK STATE EDUCATION DEPARTMENT OFFICE OF PROFESSIONS | 024078-1 | 01 |
| NY | 04092444 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986487 | David R Gonzalez | Physical Therapy Assistant | 1000 W Pembroke Rd Ste 316, Hallandale Beach, FL 33009-2181 | 2020-09-09 |
| 1629698311 | David Enrique Gonzalez | Student in an Organized Health Care Education/Training Program | 1201 Nw 16th St Rm A2nd, Miami, FL 33125-1624 | 2020-04-22 |
| 1619433729 | David Gonzalez | Home Health Aide | 185 N Redwood Dr Ste 120, San Rafael, CA 94903-1965 | 2019-02-13 |
| 1831499482 | David Gonzalez | Contractor | 1122 N Crown St, Anaheim, CA 92801-2025 | 2010-10-29 |
| 1588998785 | David N. Gonzalez | Rehabilitation Practitioner | 214 E Imperial Hwy, Los Angeles, CA 90061-2544 | 2009-09-22 |
| 1760647309 | David Gonzalez | Counselor | 2614 Tropical Ave, Bakersfield, CA 93313-2205 | 2008-07-23 |
| 1003090804 | David V. Gonzalez | Technician, Pathology | 3110 Hillcrest Dr, Apt # 607, San Antonio, TX 78201-7055 | 2007-12-28 |
| 1346315348 | David Gonzalez | Internal Medicine | 5037 Lake Worth Rd, Greenacres, FL 33463-3348 | 2006-11-22 |
| 1326080219 | David M Gonzalez | Orthopaedic Surgery | 8299 Fredericksburg Rd, San Antonio, TX 78229-3359 | 2006-06-12 |
| 1043208218 | David Manuel Gonzalez | Internal Medicine | 777 Hospital Way, Building A, Ste 101, Pocatello, ID 83201-2753 | 2005-10-11 |
| Street Address |
991 MAIN ST STE 102 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369888 | Ashley Feiss | Speech-Language Pathologist | 11 Buckingham Dr, Holbrook, NY 11741-2881 | 2020-09-02 |
| 1902443427 | Blue Horizon Speech-language Pathology PC | Speech-Language Pathologist | 402 Donald Blvd, Holbrook, NY 11741-3942 | 2019-12-03 |
| 1679128136 | Nicole Heselpoth | Speech-Language Pathologist | 42 Knickerbocker Ave, Holbrook, NY 11741-1726 | 2019-08-01 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1285070599 | Stefanie Spain | Speech-Language Pathologist | 1591 Church St, Holbrook, NY 11741-5819 | 2013-05-14 |
| 1407196850 | Lindsay J Lafleur | Speech-Language Pathologist | 3 Windermere Dr, Holbrook, NY 11741-5613 | 2013-02-21 |
| 1619245602 | Kimberly Ann Pulitano | Speech-Language Pathologist | 74 Fulham Ln, Holbrook, NY 11741-3514 | 2011-12-06 |
| 1124304381 | Patrice L Crowley-scavo | Speech-Language Pathologist | 110 Thunder Rd, Holbrook, NY 11741 | 2011-11-01 |
| 1164718110 | Donna L Maloupis | Speech-Language Pathologist | 186 Cirrus Rd, Holbrook, NY 11741-4407 | 2011-06-28 |
| 1760786719 | Caren Debra Sande | Speech-Language Pathologist | 68 Opal St, Holbrook, NY 11741-4735 | 2011-01-05 |
| Find all providers in HOLBROOK | ||||
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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.