MICHAEL GONZALES (NPI# 1639645195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639645195 |
| Entity Type | Individual |
| Full Name | MICHAEL GONZALES |
| Credential | MSW, LCADC |
| Practice Address |
65 South St Fl 2 Freehold NJ 07728-2348 |
| Mailing Address |
143 Asbury Ave Freehold NJ 07728-8186 |
| Practice Telephone | 7325462453 |
| Mailing Telephone | 7325462453 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00285800 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LCADC | 37LC00285800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124184 | Michael Xavier Gonzales | Student in an Organized Health Care Education/Training Program | 6401 Maple Ave Apt 8307, Dallas, TX 75235-5544 | 2019-03-21 |
| 1205217908 | Michael Gonzales | Internal Medicine | San Antonio Military Medical Center, 959 Csps/sgvt, Pulmonary and Critical Care Medi, 3551 Roger Brooke Dr., Jbsa - Fort Sam Houston, TX 78234-4504 | 2015-06-18 |
| 1831421759 | Michael Anthony Gonzales | Registered Nurse | 811 S Maxine St, Santa Ana, CA 92704-1827 | 2010-02-02 |
| 1306097951 | Michael Gonzales | Acupuncturist | 102 Towne Centre Dr, Hillsborough, NJ 08844-4688 | 2008-10-01 |
| 1508413006 | Michael Anthony Gonzales | Chiropractor | 734 Broadway, Bayonne, NJ 07002-4274 | 2019-08-20 |
| 1285296657 | Michael Jose Gonzales | Physical Therapist | 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 | 2019-07-05 |
| 1922664291 | Michael Gonzales | Behavior Technician | 290 S Alma School Rd, Chandler, AZ 85224-7632 | 2019-05-13 |
| 1952878431 | Michael Gonzales | Behavior Technician | 1479 Saratoga Ave, San Jose, CA 95129-4934 | 2018-11-01 |
| 1467980367 | Michael Gonzales | Social Worker | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2017-05-23 |
| 1588110985 | Michael Gonzales | Nurse Practitioner | 2000 Scenic Dr, Georgetown, TX 78626 | 2016-08-27 |
| Street Address |
65 SOUTH ST FL 2 |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730734666 | Gianna Chapman | Counselor | 4345 Route 9 N # A, Freehold, NJ 07728-4215 | 2019-08-07 |
| 1174791602 | Dennis Makarowski | Counselor | 30 Jackson Mills Rd, Freehold, NJ 07728-8092 | 2008-02-19 |
| 1740497205 | Freehold Community Counseling Service | Counselor | 30 Jackson Mill Road, Freehold, NJ 07728-3099 | 2007-05-16 |
| 1548322480 | Lisa Harmon Mollicone | Counselor | 205 Route 9 N, Suite 26, Freehold, NJ 07728-8561 | 2006-12-15 |
| 1720152499 | Thomas W. Ludlow | Counselor | 17 Northshire Ct, Freehold, NJ 07728-9258 | 2006-11-17 |
| 1891793691 | Carlos Alberto Ramirez | Counselor | 4400 Route 9 S, Freehold, NJ 07728-1383 | 2005-07-14 |
| 1427600261 | Antoinette Dixon-thompson | Counselor | 4255 Us Highway 9 Bldg 5b, Freehold, NJ 07728-8305 | 2019-07-11 |
| 1295201119 | Cpc Behavioral Healthcare, Inc | Counselor | 22 Court St, Freehold, NJ 07728-1700 | 2018-10-18 |
| 1699216275 | Joseph Chlebowski | Counselor | 4400 Route 9 S, Suite 1000, Freehold, NJ 07728-1383 | 2017-03-15 |
| 1760879415 | Vibro At Freehold LLC | Counselor | 4345 Us Highway 9 Ste 28, Freehold, NJ 07728-4206 | 2015-04-21 |
| Find all providers in FREEHOLD | ||||
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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.