OrganizationActive
Ricardo Gonzales, PH.D., Psychological Services, LLC
NPI 1639444920 · Adult Mental Health Clinic/Center · Glorieta, NM
Provider details
- NPI number
- 1639444920
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ricardo Gonzales, Clinical Psychologist(505) 757-2216
- License
- #414 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
168 Ave. Ponderosa
Glorieta, NM 87535
Phone: (505) 757-2216
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 325
Glorieta, NM 87535-0325
Registry dates
- Enumerated
- 2012-03-20
- Last updated
- 2012-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.