LAUREN LYNNE GONZALES PHD
NPI 1154966927
Psychologist - Clinical in Garden City, NY

Active since November 15, 2019Opted out of Medicare · through Nov 18, 2027
1 SOUTH AVE, GARDEN CITY, NY 11530(315) 992-8318 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Jul 27, 2021, Apr 23, 2021 and 1 more (4 updates tracked since 2019).

About Lauren Lynne Gonzales Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN LYNNE GONZALES PHD (NPI 1154966927) is an individual clinical provider in Garden City, New York, licensed in New York (023034) and active in the NPI registry since November 2019. She has opted out of Medicare through November 18, 2027 and remains eligible to order and refer and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1154966927
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAUREN LYNNE GONZALESCredential: PHD
Location Address1 SOUTH AVEGarden City, NY 11530-4213
Mailing Address65 S Portland Ave Apt 2Brooklyn, NY 11217-1373 · (702) 768-1950
Sole ProprietorYes
Enumeration DateNovember 15, 2019
Last NPPES UpdateAugust 12, 20224 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1154966927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 023034
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1 SOUTH AVE, Garden City, NY 11530

Secondary Practice Location 1

Location 199 Gold StBrooklyn, NY 11201-1503 · Phone (315) 992-8318

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lauren Lynne Gonzales Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 18, 2019 through November 18, 2027.

Opt-Out Effective DateNovember 18, 2019
Opt-Out In Effect ThroughNovember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 SOUTH AVE
GARDEN CITY, NY 11530
Speech-Language Pathologist
1 SOUTH AVE
GARDEN CITY, NY 11530
Specialist/Technologist (Athletic Trainer)
1 SOUTH AVE
GARDEN CITY, NY 11530
Speech-Language Pathologist
1 SOUTH AVE
GARDEN CITY, NY 11530
Registered Nurse
1 SOUTH AVE
GARDEN CITY, NY 11530
Specialist/Technologist (Athletic Trainer)
1 SOUTH AVE
GARDEN CITY, NY 11530
Psychologist (Clinical)
1 SOUTH AVE
GARDEN CITY, NY 11530
Community/Behavioral Health
1 SOUTH AVE
GARDEN CITY, NY 11530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Gonzales's NPI number?

The NPI number for Lauren Gonzales is 1154966927. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Where is Lauren Gonzales located?

Lauren Gonzales practices at 1 South Ave, Garden City, NY 11530. The listed phone number is (315) 992-8318.

What is Lauren Gonzales's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lauren Gonzales enrolled in Medicare?

No. Lauren Gonzales has opted out of Medicare through November 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lauren Gonzales was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.