TEALAI RAECHAL GONELLA


Address: 18330 N 79th Ave Apt 1048, Glendale, AZ 85308-8345
Phone: 6025164188

TEALAI RAECHAL GONELLA (NPI# 1679607238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679607238
Entity Type Individual
Full Name TEALAI RAECHAL GONELLA
Practice Address 18330 N 79th Ave Apt 1048
Glendale
AZ 85308-8345
Practice Telephone 6025164188
Mailing Telephone 6025164188
Enumeration Date 2007-03-15
Last Update Date 2007-07-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist AZ Behavioral Health & Social Service Providers

Office Location

Street Address 18330 N 79TH AVE APT 1048
City GLENDALE
State AZ
Zip Code 85308-8345

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NPI Name Taxonomy Address Enumeration
1972102572 Inspire Wellness and Pelvic Health Clinic/Center 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 2020-10-23
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1295377687 Serenity Preserved Counseling Pllc Counselor 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 2019-10-17
1013567023 Caitlyn Heredia Student in an Organized Health Care Education/Training Program 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 2019-09-12
1770141061 Sydney Dangelo Student in an Organized Health Care Education/Training Program 7454 W Denaro Dr, Glendale, AZ 85308 2019-05-31
1023585742 Center for Couples Therapy, Pllc Counselor 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 2018-10-31
1831678341 Ayat Mahdi Obeidi Dentist 19420 N 59th Ave Ste D400, Glendale, AZ 85308 2018-08-07
1720580038 Lifeline Professional Counseling Services, Inc Clinic/Center 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 2018-03-02
1003318585 Danna Mavis Constance Moisii Physician Assistant 18301 N. 79th Ave #g190, Glendale, AZ 85308 2018-03-01
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497226864 Austin Mccall Psychologist 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 2018-12-11
1730595646 Patrick Lockwood Psychologist 130 N Brand Blvd Ste 202, Glendale, CA 91203-2617 2014-07-11
1154744415 Anahid Assatourian Psychologist 3520 Stancrest Dr, Glendale, CA 91208-1322 2014-01-22
1013205822 Nanako Negome-kapur Psychologist 17218 N 72nd Dr Ste 101, Glendale, AZ 85308 2011-07-13
1558591172 Laura Marie Wendlandt Psychologist 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 2009-07-16
1346499761 Anna Faye Leshner Psychologist 1510 S Central Ave Ste 210, Glendale, CA 91204-2557 2008-09-10
1184816233 Juanita Mae Richard Psychologist 15082 N 59th Ave Apt 157, Glendale, AZ 85306-5234 2007-08-13
1417163528 Donna M.l. Heretick Psychologist 6451 W Prickly Pear Trl, Glendale, AZ 85310-1023 2007-05-15
1417077298 Eva J. Hageman Psychologist 20012 N 35th Ave, Glendale, AZ 85308-2204 2007-03-29
1811016942 Tina Alexandrian Psychologist 100 N Brand Blvd Ste 516, Glendale, CA 91203-2614 2007-03-28
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Competitor

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City GLENDALE
Zip Code 85308

Improve Information

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Dataset Information

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.

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