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DR. MITZI MICHELLE GONZALES PH.D.
NPI 1659806123
Clinical Neuropsychologist in Los Angeles, CA

Active since April 21, 2017PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
444 S SAN VICENTE BLVD STE 103, LOS ANGELES, CA 90048(310) 423-9722(310) 248-8710 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 7, 2023, May 21, 2018, Apr 21, 2017 (3 updates tracked since 2017).

About Dr. Mitzi Michelle Gonzales Ph.d. NPPES

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

DR. MITZI MICHELLE GONZALES PH.D. (NPI 1659806123) is an individual clinical neuropsychologist in Los Angeles, California, licensed in California (PSY28558) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Texas At Austin Dell Medical School (2015).

NPPES Registry Identity

NPI1659806123
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. MITZI MICHELLE GONZALESCredential: PH.D.
Location Address444 S SAN VICENTE BLVD STE 103Los Angeles, CA 90048-4169
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-9722
Fax(310) 248-8710
Sole ProprietorNo
Medical School CMSUniversity Of Texas At Austin Dell Medical SchoolGraduated 2015
Enumeration DateApril 21, 2017
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1659806123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in CA · PSY28558✔ Licensed in TX · 36697
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
444 S SAN VICENTE BLVD STE 103, Los Angeles, CA 90048
Open in Google Maps ↗

Other Identifiers 2

Medicaid382200901TX
Other382200902TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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. Mitzi Michelle Gonzales 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 ID8123380904
PECOS Enrollment IDI20231222000532
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 5

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.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
79 services19 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
49 services20 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
20 services20 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
20 services20 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
19 services19 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

Other Providers at the Same Location NPPES 6

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

YI MIAO PHD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
VIANNAE CARMONA NELKIN PSYD, BCABA
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. KENNETH HARTLINE PSY.D.
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. ANDREW STEVEN ROSENBLATT PHD
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
LIORAH SABBAH PHD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
JUSTIN D MISTERKA PSYD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722

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 Mitzi Gonzales's NPI number?

The NPI number for Mitzi Gonzales is 1659806123. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Mitzi Gonzales located?

Mitzi Gonzales practices at 444 S San Vicente Blvd Ste 103, Los Angeles, CA 90048. The listed phone number is (310) 423-9722.

What is Mitzi Gonzales's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Mitzi Gonzales enrolled in Medicare?

Yes. Mitzi Gonzales 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 Mitzi Gonzales accept?

Health plans from Imperial Insurance Companies, Inc. list Mitzi Gonzales 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 Mitzi Gonzales was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.