MS. SUSIE ANN GONSALVES (NPI# 1295768513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295768513 |
| Entity Type | Individual |
| Full Name | MS. SUSIE ANN GONSALVES |
| Credential | LCSW |
| Practice Address |
32605 Highway 79 South Suite 206 Temecula CA 92592 |
| Practice Telephone | 9513026400 |
| Practice Fax Number | 9513026400 |
| Mailing Telephone | 9513026400 |
| Mailing Fax Number | 9513026400 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCS18971 | CA | Behavioral Health & Social Service Providers |
| Street Address |
32605 HIGHWAY 79 SOUTH SUITE 206 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528190881 | Virgil Benjamin Dmd Inc. | Dentist | 32605 Highway 79 South, 213, Temecula, CA 92592 | 2007-03-12 |
| 1619051851 | Rochelle C Rondon | Counselor | 32605 Highway 79 South, Temecula, CA 92592 | 2006-10-24 |
| 1679668040 | Gloria Jean Ghanem-ybarra | Psychologist | 32605 Highway 79 South, Suite 202, Temecula, CA 92592 | 2006-10-03 |
| 1528075728 | Rachelle Salerno | Social Worker | 32605 Highway 79 South, Suite 219, Temecula, CA 92592 | 2006-08-01 |
| 1962416214 | The Dr. De Llanos Clinic, Inc. | Psychiatry & Neurology | 32605 Highway 79 South, Suite 219, Temecula, CA 92592 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
| 1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
| 1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
| 1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
| 1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
| 1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
| Find all providers in zip 92592 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416310 | Outside The Norm Counseling, Inc. | Counselor | 27403 Ynez Rd Ste 204, Temecula, CA 92591-4616 | 2020-01-23 |
| 1003394750 | Joaquin Patrick Casanas IIi | Counselor | 40925 County Center Dr Ste 2002nd, Temecula, CA 92591-6054 | 2018-08-03 |
| 1427554807 | April Dawn Jones | Counselor | 43234 Business Park Dr Ste 105, Temecula, CA 92590-3604 | 2018-04-04 |
| 1538672381 | Whitney Ann Schlife | Counselor | 43391 Business Park Dr Ste C3, Temecula, CA 92590-3694 | 2017-11-14 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| 1164978409 | Susan Rollins-swantusch | Counselor | 41002 County Circle Dr., Suite 320, Temecula, CA 92591 | 2016-08-28 |
| 1508224429 | Deanne Allen Perry | Counselor | 43164 Corte Montilla, Temecula, CA 92592-3630 | 2016-02-05 |
| 1346610953 | China Long | Counselor | 27780 Jefferson Ave Ste M, Temecula, CA 92590-2670 | 2015-09-25 |
| 1871912949 | Vincent Shanks | Counselor | 44415 Kingston Dr, Temecula, CA 92592-5621 | 2014-04-15 |
| Find all providers in TEMECULA | ||||
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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.