ROSE E. GONZALEZ PH.D.
NPI 1710143789
Pediatrics - Developmental - Behavioral Pediatrics in Charlottesville, VA

Active since July 30, 2008PECOS Enrolled
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 243-3300 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rose E. Gonzalez Ph.d. NPPES

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

ROSE E. GONZALEZ PH.D. (NPI 1710143789) is an individual developmental - behavioral pediatrics provider in Charlottesville, Virginia, licensed in Virginia (0810000348) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710143789
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameROSE E. GONZALEZCredential: PH.D.
Location Address1204 W MAIN STCharlottesville, VA 22903-2824
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 243-3300
Sole ProprietorNo
Enumeration DateJuly 30, 2008
Last NPPES UpdateAugust 12, 2019
NPI 1710143789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License Licensed in VA · 0810000348
Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810000348 (VA)
1204 W MAIN ST, Charlottesville, VA 22903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rose E. Gonzalez Ph.d. 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.

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.

Psychologist (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Pediatrics)
1204 W MAIN ST, 5TH FLOOR
CHARLOTTESVILLE, VA 22903
Genetic Counselor, MS
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Developmental - Behavioral Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Pediatrics (Developmental - Behavioral Pediatrics)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710143789, enumerated as an "individual" on July 30, 2008.

The provider is located at 1204 W MAIN ST CHARLOTTESVILLE, VA 22903 and the phone number is (434) 924-0123.

Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.