Dr Manuel Anthony Carl Gonzalez, PSYD is a
Psychologist - Clinical based in Richmond, California. Dr Manuel Anthony Carl Gonzalez is licensed to practice in Washington (license number PY 60414394) and his current practice location is
3919 Macdonald Ave, Richmond, California. He can be reached at his office (for appointments etc.) via phone at
(510) 741-7286.
NPI number for Dr Manuel Anthony Carl Gonzalez is 1164623005 and his current mailing address is 1399 9th Ave, Apt 821, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164623005.
Healthcare Provider's Profile
| Full Name | Dr Manuel Anthony Carl Gonzalez |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3919 Macdonald Ave, Richmond, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164623005
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 04/05/2016
Medical Identifiers
Medical identifiers for Dr Manuel Anthony Carl Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164623005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY 60414394 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Manuel Anthony Carl Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Manuel Anthony Carl Gonzalez, PSYD
1399 9th Ave, Apt 821,
San Diego, CA 92101-4720
Ph: () - | Dr Manuel Anthony Carl Gonzalez, PSYD
3919 Macdonald Ave,
Richmond, CA 94805-2229
Ph: (510) 741-7286 |
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