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DR. KEITH ROBERT GONSOR PH.D.
NPI 1497822787
Psychologist - Clinical in Massapequa, NY

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
627 BROADWAY, SUITE 200, MASSAPEQUA, NY 11758(516) 799-6001(516) 799-4464 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Robert Gonsor Ph.d. NPPES

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

DR. KEITH ROBERT GONSOR PH.D. (NPI 1497822787) is an individual clinical provider in Massapequa, New York, licensed in New York (010346) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1497822787
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEITH ROBERT GONSORCredential: PH.D.
Location Address627 BROADWAY, SUITE 200Massapequa, NY 11758-5031
Mailing Address627 Broadway, Suite 200Massapequa, NY 11758-5031 · (516) 799-6001 · Fax (516) 799-4464
Phone(516) 799-6001
Fax(516) 799-4464
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1497822787 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 · 010346
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.
627 BROADWAY, Massapequa, NY 11758
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Other Identifiers 2

Medicare UPINR27893NY
Medicare ID-Type Unspecified00772NY · Ghi Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keith Robert Gonsor Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800898735
PECOS Enrollment IDI20070212000593
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
596 services37 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
585 services66 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
60 services60 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11758 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 15

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

THOMAS JOSEPH MCCOY LCSW
Social Worker (Clinical)
627 BROADWAY, SUITE 205
MASSAPEQUA, NY 11758
Nassau County (516) 731-3248
MRS. AMY L ROBERTS RPA-C
Physician Assistant
627 BROADWAY, SUITE 1
MASSAPEQUA, NY 11758
Nassau County (516) 308-4040
EMILY LYNN WILLMS
Social Worker
627 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (631) 514-5433
LENA NAJJARIAN PA-C
Physician Assistant (Medical)
627 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (347) 857-9651
DEANNA L LEVY AU.D, CCC-A
Audiologist
627 BROADWAY
MASSAPEQUA, NY 11758
Nassau County (516) 541-4171
DR. LAURENCE F MACK MD
Specialist
627 BROADWAY
N MASSAPEQUA, NY 11758
Nassau County (516) 799-3462
MS. BARBARA ANN KILGUS LCSW-R
Social Worker (Clinical)
627 BROADWAY, SUITE 200
MASSAPEQUA, NY 11758
Nassau County (516) 398-5035
JILL SISSELMAN D.O.
Family Medicine
627 BROADWAY, SUITE 1
MASSAPEQUA, NY 11758
Nassau County (516) 308-4040

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 Keith Gonsor's NPI number?

The NPI number for Keith Gonsor is 1497822787. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Keith Gonsor located?

Keith Gonsor practices at 627 Broadway Suite 200, Massapequa, NY 11758. The listed phone number is (516) 799-6001.

What is Keith Gonsor's specialty?

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

Is Keith Gonsor enrolled in Medicare?

Yes. Keith Gonsor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Keith Gonsor accept?

Health plans from Providence Health Plan list Keith Gonsor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Gonsor was last updated on July 9, 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.