DANIELLA NOELLE GONZALEZ
Complete NPI Record 1558705087
Psychologist - Cognitive & Behavioral in Sunrise, FL

NPI Status: Active since April 26, 2013

Contact Information

440 SAWGRASS CORPORATE PKWY STE 106
SUNRISE, FL
ZIP 33325
Phone: (954) 745-1112

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Complete NPI Dataset

This page represents the complete record for NPI 1558705087. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1558705087
The city name in the location address of the provider being identified.
Entity Type Code: 1
The State code in the location of the provider being identified.
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: DANIELLA
The first name of the provider, if the provider is an individual.
Provider Middle Name: NOELLE
The middle name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 140 NW 91ST AVE
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: PEMBROKE PINES
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: FL
The date that a record was last updated or changed.
Provider Business Mailing Address Postal Code: 330246458
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 9542576618
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 440 SAWGRASS CORPORATE PKWY STE 106
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: SUNRISE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: FL
The 10-position telephone number of the authorized official.
Provider Business Practice Location Address Postal Code: 333256236
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 9547451112
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 4/26/2013
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 4/26/2013
The date that a record was last updated or changed.
Provider Gender Code: F
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Healthcare Provider Taxonomy Code 1: 103TB0200X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No