DIANE GONZALES (NPI# 1215431119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215431119 |
| Entity Type | Individual |
| Full Name | DIANE GONZALES |
| Credential | CASAC-T |
| Practice Address |
3 Commercial Place Newburgh NY 12550 |
| Mailing Address |
3 Commercial Pl Newburgh NY 12550-5306 |
| Practice Telephone | 8452202146 |
| Practice Fax Number | 8455612913 |
| Mailing Telephone | 8452202146 |
| Mailing Fax Number | 8455613913 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
29020 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992848774 | Diane Fridley Gonzales | Psychiatry & Neurology | 220 S Market St, Opelousas, LA 70570-5140 | 2007-02-14 |
| Street Address |
3 COMMERCIAL PLACE |
| City | NEWBURGH |
| State | NY |
| Zip Code | 12550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986057 | Jennifer Lauren Steckenrider | Optometrist | 1201 Ny-300, Newburgh, NY 12550 | 2019-05-06 |
| 1386103125 | Dorian Kim Shann | Physical Therapist | 53 Ny-17k Suite 2, Newburgh, NY 12550 | 2019-03-19 |
| 1083186100 | Kimberly Ellen Vondras | Registered Nurse | 21-23 Grand Street, Newburgh, NY 12550 | 2018-12-31 |
| 1487144887 | Jenna Gaudio | Dentist | 1413 Union Ave, Newburgh, NY 12550 | 2018-05-11 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1063939510 | Paula A. Coloni | Social Worker | One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 | 2017-08-25 |
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1770008559 | Walgreen Co | Pharmacy | 59 N Plank Rd Ste 2, Newburgh, NY 12550 | 2017-08-14 |
| 1639691017 | Danielle Elizabeth Ingrassia | Behavioral Analyst | 8 Crestwood Ct., Newburgh, NY 12550 | 2017-07-07 |
| 1861937609 | Morgan Meredith Escano | Registered Nurse | 700 Cooperate Blvd, Newburgh, NY 12550 | 2017-01-04 |
| Find all providers in zip 12550 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306362652 | Richard Malvey | Counselor | 172 Liberty Street, Newburgh, NY 12550 | 2017-08-18 |
| 1295141265 | Nancy Barrett | Counselor | 17 Rock Cut Rd, Newburgh, NY 12550-2372 | 2014-07-10 |
| 1306184312 | Jeffrey Michael Spitz | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2013-01-25 |
| 1639433345 | Vivian Lynne Ireton | Counselor | 5048 S Plaza Dr, Newburgh, IN 47630-3069 | 2012-06-27 |
| 1073681540 | Serina Martinez | Counselor | 46 Roe St, Newburgh, NY 12550-3733 | 2006-12-01 |
| 1962003244 | Paul Thomas Veneski | Counselor | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-11-04 |
| 1578172367 | Holland Ann Troeger | Counselor | 172 Liberty St, Newburgh, NY 12550-4912 | 2020-07-28 |
| 1013525773 | Jillian Muir | Counselor | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-07-20 |
| 1295350528 | Lisa Marie Gallo | Counselor | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-06-12 |
| 1174158471 | Evelyn Itzkowitz | Counselor | 3 Commercial Pl, Newburgh, NY 12550-5306 | 2020-03-06 |
| Find all providers in NEWBURGH | ||||
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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.