Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARISSA ALEJANDRA GONZALEZ DO
NPI 1528707254
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Q: What is Marissa Gonzalez's NPI number?

The NPI number for Marissa Gonzalez is 1528707254. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Q: What is Marissa Gonzalez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Gonzalez was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since June 01, 2022PECOS Enrolled

4301 BROADWAY ST, SAN ANTONIO, TX 78209(210) 829-6005 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Apr 5, 2023 (2 updates tracked since 2023).

On this page

About Dr. Marissa Alejandra Gonzalez Do NPPES

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

DR. MARISSA ALEJANDRA GONZALEZ DO (NPI 1528707254) is an individual psychiatry provider in San Antonio, Texas, licensed in New York (343728) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1528707254

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MARISSA ALEJANDRA GONZALEZCredential: DO

Location Address4301 BROADWAY STSan Antonio, TX 78209

Mailing Address1338 Canyon BrkSan Antonio, TX 78248-2603 · (956) 763-2996

Phone(210) 829-6005

Sole ProprietorYes

Enumeration DateJune 1, 2022

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1528707254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 343728

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4301 BROADWAY ST, San Antonio, TX 78209

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Park Ave Fl 8New York, NY 10016-5802 · Phone (212) 263-7419

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marissa Alejandra Gonzalez Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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.

MARK C. GRANBERRY PHARM.D.

Pharmacist (Pharmacotherapy)

4301 BROADWAY ST, CPO99
SAN ANTONIO, TX 78209

Bexar County (210) 805-3025

DR. JOHN MARK TOVAR PHARM.D.

Pharmacist (Pharmacotherapy)

4301 BROADWAY ST
SAN ANTONIO, TX 78209

Bexar County (210) 832-2117

DR. GLORIA BLAIR SARBACKER PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

4301 BROADWAY ST, CPO 99
SAN ANTONIO, TX 78209

Bexar County (210) 883-1094

DR. HANSITA B PATEL PHARM.D.

Pharmacist (Ambulatory Care)

4301 BROADWAY ST, CPO 99
SAN ANTONIO, TX 78209

Bexar County (210) 883-1145

AGUSTIN MELENDEZ JR. ATC, LAT

Specialist/Technologist (Athletic Trainer)

4301 BROADWAY ST
SAN ANTONIO, TX 78209

Bexar County (210) 829-3834

DR. RONDA PERRIN GOTTLIEB FNP

Nurse Practitioner

4301 BROADWAY ST
SAN ANTONIO, TX 78209

Bexar County (210) 829-6017

LIDIA GARCIA ATC, LAT

Specialist/Technologist (Athletic Trainer)

4301 BROADWAY ST
SAN ANTONIO, TX 78209

Bexar County (210) 829-3826

BERNARD JOSEPH LOUGH ATC, LAT

Specialist/Technologist (Athletic Trainer)

4301 BROADWAY ST
SAN ANTONIO, TX 78209

Bexar County (210) 829-3834

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 Marissa Gonzalez's NPI number?

The NPI number for Marissa Gonzalez is 1528707254. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Marissa Gonzalez located?

Marissa Gonzalez practices at 4301 Broadway St, San Antonio, TX 78209. The listed phone number is (210) 829-6005.

What is Marissa Gonzalez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marissa Gonzalez enrolled in Medicare?

Yes. Marissa Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Gonzalez was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.