PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC


Address: 85 Hillcrest Terrace, Meriden, CT 06450
Phone: 8458183500

PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC (NPI# 1760738025) 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) 1760738025
Entity Type Organization
Organization Name PSYCHOLOGIST ADRIANA L GONZALEZ PHD PLLC
Practice Address 85 Hillcrest Terrace
Meriden
CT 06450
Practice Telephone 8458183500
Practice Fax Number 2036802701
Mailing Telephone 8458183500
Mailing Fax Number 2036802701
Enumeration Date 2012-07-24
Last Update Date 2019-04-10
Authorized Official Name DR. ADRIANA LAURA GONZALEZ (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 9175960076
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
3162 CT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT NPI 1710253182 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750823258 Psychologist Adriana L Gonzalez Phd Pllc Community/Behavioral Health 978 Route 45, Suite 104, Pomona, NY 10970-3521 2016-11-15

Office Location

Street Address 85 HILLCREST TERRACE
City MERIDEN
State CT
Zip Code 06450

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1861056525 Oak Counseling Services LLC Counselor Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 2019-04-29
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1144674672 Felistas Mazhandu Nurse Practitioner 53 Church Hill Chase, Meriden, CT 06450 2016-04-21
1639557390 D J Park PC Dentist 490-19 South Broad Street, Meriden, CT 06450 2015-05-14
1912393844 Elliott Lacki Psychologist 1355 N Broad St, Meriden, CT 06450 2015-04-07
1124379797 Jamie Anne Gargano Social Worker 538 Preston Avenue, Meriden, CT 06450 2012-09-24
1174888622 Dong Jin Park Dentist 490 S Broad St, Meriden, CT 06450 2012-07-11
1710253182 Adriana Laura Gonzalez Psychologist 85 Hillcrest Ter, Meriden, CT 06450 2012-03-29
1285864199 Crystal Ann Herdman Occupational Therapist 33 Cone Avenue, Meriden, CT 06450 2009-07-27
1033376330 Premier Eyecare Exclusive Provider Organization 35 Pleasant Street 2c, Meriden, CT 06450 2008-05-22
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780195339 Rachel Collins, Lpc Clinic/Center 410 State St Rm 1, North Haven, CT 06473-3149 2017-10-22
1376054148 Joann Flynn LLC. Clinic/Center 3 Swanswood Ln, Old Lyme, CT 06371-1867 2017-10-19
1942723036 Kellys Kids, Inc Clinic/Center 9 Spring Rd, Prospect, CT 06712-1522 2017-07-20
1295256840 B.e.a.u.t.y, LLC Clinic/Center 824 Main St Ste F, Manchester, CT 06040-6048 2017-07-05
1518413442 Community Partners In Action Clinic/Center 995 Sherman Ave, Hamden, CT 06514-1144 2016-08-31
1952760803 Darbonshire, LLC Clinic/Center 304 Wahackme Rd, New Canaan, CT 06840-3936 2016-02-21
1497025035 Ct Clinical Services, Inc. Clinic/Center 189 Orange St, New Haven, CT 06510-2014 2012-01-12
1093950032 Yale Parenting and Child Conduct Clinic Clinic/Center 314 Prospect St, New Haven, CT 06511-2187 2008-12-04
1710185731 Waterford Country School, Inc. Clinic/Center 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 2007-07-11
1689887440 The Bridge Family Center Inc Clinic/Center 1022 Farmington Ave, West Hartford, CT 06107 2007-05-08
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Competitor

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City MERIDEN
Zip Code 06450

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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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