MRS. KAITLYN GONZALEZ
NPI 1780155382
Nurse Practitioner - Psychiatric/Mental Health in Huntington, NY

Q: What is Kaitlyn Gonzalez's NPI number?

The NPI number for Kaitlyn Gonzalez is 1780155382. It was assigned to this individual provider in the NPPES registry on December 9, 2018.

Q: What is Kaitlyn Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Gonzalez was last updated on November 8, 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.

Active since December 09, 2018PECOS Enrolled

790 PARK AVE, HUNTINGTON, NY 11743(631) 427-3700 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2023, Apr 5, 2023, Dec 9, 2018 (3 updates tracked since 2018).

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About Mrs. Kaitlyn Gonzalez NPPES

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

MRS. KAITLYN GONZALEZ (NPI 1780155382) is an individual psychiatric/mental health provider in Huntington, New York, licensed in New York (F405403-01) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780155382

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. KAITLYN GONZALEZ

Location Address790 PARK AVEHuntington, NY 11743-4516

Mailing Address790 Park AveHuntington, NY 11743-4516 · (631) 427-3700

Phone(631) 427-3700

Sole ProprietorYes

Enumeration DateDecember 9, 2018

Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1780155382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F405403-01

Also ListedRegistered NurseTaxonomy 163W00000X · License 692965-1 (NY)

790 PARK AVE, Huntington, NY 11743

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kaitlyn Gonzalez 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.

Medicare Billing Reassignment

Medicare enrollment records show Kaitlyn Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service League, Inc.

Same address

Community/Behavioral Health

790 PARK AVE
Huntington, NY 11743

Reassigned Medicare billing, New York enrollment
122 clinicians in this Medicare group

NPI 1528093242 (631) 427-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

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 20

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

ALEXANDRA GUARDINO

Student in an Organized Health Care Education/Training Program