IVAN GONZALEZ
NPI 1184013252
Psychologist - Clinical in Fort Bragg, NC

Active since January 13, 2015
2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivan Gonzalez NPPES

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

IVAN GONZALEZ (NPI 1184013252) is an individual clinical provider in Fort Bragg, North Carolina, licensed in Arizona (PSY-004598) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1184013252
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameIVAN GONZALEZ
Location Address2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTERFort Bragg, NC 28310
Mailing Address6600 Van Aalst BlvdFort Moore, GA 31905-2102 · (706) 545-4237
Fax(910) 907-6069
Sole ProprietorYes
Enumeration DateJanuary 13, 2015
Last NPPES UpdateOctober 11, 2024
NPPES CertifiedOctober 7, 2024
NPI 1184013252 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 AZ · PSY-004598
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.
2817 REILLY ROAD, Fort Bragg, NC 28310

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.

Physician Assistant
2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTER DOOH PES MEB
FORT BRAGG, NC 28310
Clinic/Center (VA)
2817 REILLY ROAD
FORT BRAGG, NC 28310
Occupational Therapist
2817 REILLY ROAD
FORT BRAGG, NC 28310
Dental Assistant
2817 REILLY ROAD
FT BRAGG, NC 28310
Social Worker (Clinical)
2817 REILLY ROAD
FORT BRAGG, NC 28310
Occupational Therapist
2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Nurse Practitioner (Family)
2817 REILLY ROAD, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Orthopedic)
2817 REILLY ROAD, DEPARTMENT OF ORTHO & REHAB
FORT BRAGG, NC 28310

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 Ivan Gonzalez's NPI number?

The NPI number for Ivan Gonzalez is 1184013252. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Ivan Gonzalez located?

Ivan Gonzalez practices at 2817 Reilly Road Womack Army Medical Center, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Ivan Gonzalez's specialty?

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

When was this NPI record last updated?

The NPPES record for Ivan Gonzalez was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.