RAUL GONZALEZ PH.D. NPI 1356417596

NPI Information

NPI: 1356417596
Provider Name: RAUL GONZALEZ, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
11200 SW 8TH ST
AHC4 - 461
MIAMI, FL
ZIP 33199
Phone: (305) 348-4921
Get Directions

Raul Gonzalez, PH.D. is a clinical neuropsychologist in Miami, FL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Raul Gonzalez, PH.D. NPI is 1356417596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11200 SW 8TH ST
AHC4 - 461
MIAMI, FL
ZIP 33199-516
Phone: (305) 348-4921

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		PY9043	FLORIDA	No
2	103TC2200X	Psychologist	Clinical Child & Adolescent	PY9043	FLORIDA	No
3	103TC0700X	Psychologist	Clinical	PY9043	FLORIDA	No
4	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PY9043	FLORIDA	No
5	103TB0200X	Psychologist	Cognitive & Behavioral	PY9043	FLORIDA	No
6	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PY9043	FLORIDA	No
7	103G00000X	Clinical Neuropsychologist		PY9043	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K32675	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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