MR. MARTIN GONZALES
NPI 1477627495
Respite Care - Respite Care, Mental Illness, Child in Phoenix, AZ

Active since November 20, 2006
3924 W MARICOPA ST, PHOENIX, AZ 85009(602) 353-9352 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Martin Gonzales NPPES

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

MR. MARTIN GONZALES (NPI 1477627495) is an individual respite care, mental illness, child provider in Phoenix, Arizona, licensed in Arizona (8896) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1477627495
Entity TypeIndividualMale
Primary Taxonomy385HR2055X
Provider Legal NameMR. MARTIN GONZALES
Location Address3924 W MARICOPA STPhoenix, AZ 85009-5410
Mailing Address3924 W Maricopa StPhoenix, AZ 85009-5410 · (602) 353-9352
Sole ProprietorYes
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477627495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility
Taxonomy Code385HR2055X
License Licensed in AZ · 8896
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
3924 W MARICOPA ST, Phoenix, AZ 85009

Other Names 1

Other Name (5)Mrs. Vickie Gonzales

Other Identifiers 1

Other910035AZ · Ahcccs Id Number

Other Providers at the Same Location NPPES

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

Respite Care (Respite Care, Mental Illness, Child)
3924 W MARICOPA ST
PHOENIX, AZ 85009

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 Martin Gonzales's NPI number?

The NPI number for Martin Gonzales is 1477627495. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Mrs. Vickie Gonzales.

Where is Martin Gonzales located?

Martin Gonzales practices at 3924 W Maricopa St, Phoenix, AZ 85009. The listed phone number is (602) 353-9352.

What is Martin Gonzales's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

When was this NPI record last updated?

The NPPES record for Martin Gonzales was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.