DR. ALBERTO LUIS GONZALEZ (NPI# 1588959068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588959068 |
| Entity Type | Individual |
| Full Name | DR. ALBERTO LUIS GONZALEZ |
| Credential | M.D |
| Practice Address |
500 Blue Hills Ave Hartford CT 06112-1500 |
| Mailing Address |
675 Tower Ave Ste 301 Hartford CT 06112-1274 |
| Practice Telephone | 8607144000 |
| Mailing Telephone | 8607142338 |
| Mailing Fax Number | 8607148591 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
052454 | CT | Behavioral Health & Social Service Providers |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
52454 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Vine St, Hartford, CT 061121639 | 8602936445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1699144428 | Alberto Gonzalez | Military Health Care Provider | 102 Redrock Dr, San Antonio, TX 78213-4526 | 2015-09-22 |
| 1265627186 | Alberto Alexander Gonzalez | Emergency Medicine | 4801 Alberta, Suite#b3200, El Paso, TX 79905 | 2007-09-13 |
| 1952403222 | Alberto Gonzalez | Internal Medicine | 9960 Central Park Blvd., Suite #150, Boca Raton, FL 33428 | 2006-09-05 |
| 1689776304 | Alberto Patricio Gonzalez | Pathology | 1401 East 8th Street, Weslaco, TX 78596-6640 | 2006-09-02 |
| 1487677696 | Alberto J Gonzalez | Psychiatry & Neurology | 2323 St Matthews Rd, Orangeburg, SC 29118 | 2006-07-26 |
| 1205863842 | Alberto Jose Gonzalez | Surgery | 1500 Se Magnolia Ext Ste 204, Ocala, FL 34471-4461 | 2006-06-27 |
| 1972154094 | Alberto Gonzalez | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2019-09-20 |
| 1487127015 | Alberto J Gonzalez | Counselor | 210 E Enos Dr Ste A, Santa Maria, CA 93454-7215 | 2019-01-07 |
| 1265922553 | Alberto Gonzalez | Student in an Organized Health Care Education/Training Program | 6431 Fannin St, Houston, TX 77030-1501 | 2018-05-13 |
| Street Address |
500 BLUE HILLS AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336199736 | Narasimhan Chandra Narayanan | Surgery | 500 Blue Hills Ave, Wound Care Center, Hartford, CT 06112-1500 | 2006-05-10 |
| 1437612116 | Burton E Callahan IIi | Counselor | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2019-04-10 |
| 1609338938 | Aneta J Godlewski | Counselor | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2019-04-04 |
| 1689061277 | Rose-marie Marotta-graves | Social Worker | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2015-04-21 |
| 1801162664 | Michael C Zito Jr. | Counselor | 500 Blue Hills Ave, 6th Floor, Hartford, CT 06112-1500 | 2012-03-27 |
| 1972769776 | Ernest Jermin II | Psychiatry & Neurology | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2008-07-31 |
| 1982866141 | Darlene A Saucier | Nurse Practitioner | 500 Blue Hills Ave, Wound Care Center, Hartford, CT 06112-1500 | 2008-06-30 |
| 1740499656 | Tracey Edan Krasnow | Pediatrics | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2007-05-21 |
| 1891901393 | Saint Francis Hospital and Medical Center | General Acute Care Hospital | 500 Blue Hills Ave, Suite 406, Hartford, CT 06112-1500 | 2007-05-14 |
| 1598989006 | Greater Hartford Lithotripsy, LLC | Urology | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1154583748 | Zinaida Boutaeva | Psychiatry & Neurology | 6232 Avalon Dr W, Orange, CT 06477-3679 | 2008-06-25 |
| 1144406802 | Shanthi Mogali | Psychiatry & Neurology | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2008-01-11 |
| 1669402343 | Jean Carl Jarda | Psychiatry & Neurology | 28-2 Shunpike Rd, Cromwell, CT 06416 | 2006-07-05 |
| 1336124676 | Yuencheng Han | Psychiatry & Neurology | 750 Straits Tpke, Middlebury, CT 06762-2833 | 2005-12-09 |
| 1831647957 | Straun Health & Wellness | Psychiatry & Neurology | 1224 Mill St, Bldg B, East Berlin, CT 06023-1159 | 2016-09-18 |
| 1528444346 | Marie-josee A. Lynch | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-08-04 |
| 1215367081 | Gengyun Wen | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2013-11-15 |
| 1043560287 | Michael Kofi Adusei | Psychiatry & Neurology | 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 | 2012-09-14 |
| 1023370186 | Maria Ghanbari Motlagh | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
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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.