Active NPIIndividual providerSole proprietor

Dr. Genesis Gonzalez, PSYD

Psychologist in Bayonne, New Jersey

NPI Number1164303533
Practice location
100 Avenue G Apt 639, Bayonne, NJ 07002-6746
Fax
—
Last updated
September 10, 2025

Genesis Gonzalez is a Psychologist based in Bayonne, NJ. Genesis Gonzalez practices in Bayonne, NJ and has the professional credentials of PSYD. The NPI Number for Genesis Gonzalez is 1164303533 and holds a License No. 35SI00790200 (NJ). The current practice location address for Genesis Gonzalez is 100 Avenue G Apt 639, Bayonne, NJ 07002-6746 and can be reached out via phone at 732-354-1466.

Provider Profile Details

NPI Number
1164303533
Provider Name
Genesis Gonzalez
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
100 Avenue G Apt 639, Bayonne, NJ 07002-6746
Phone Number
732-354-1466
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 10, 2025
Last Update Date
September 10, 2025
Certification Date
September 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Avenue G Apt 639
Bayonne, NJ 07002-6746
Zip
07002-6746
Phone Number
732-354-1466
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
100 Avenue G Apt 639
Bayonne, NJ 07002-6746
City
Bayonne
State
NJ
Zip
07002-6746

License Information

License Number
35SI00790200
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Genesis Gonzalez, PSYD?

The NPI number of Dr. Genesis Gonzalez, PSYD is 1164303533. It was assigned on September 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Genesis Gonzalez, PSYD?

Dr. Genesis Gonzalez, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00790200.

Where does Dr. Genesis Gonzalez, PSYD practice?

The practice location is 100 Avenue G Apt 639, Bayonne, NJ 07002-6746. The office can be reached at 732-354-1466 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164303533 directly on the NPPES registry website.

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