IndividualActive
Alfonso Gonzalez, PMHNP-BC
NPI 1679389845 · Psychiatric/Mental Health Nurse Practitioner · Detroit, MI
Provider details
- NPI number
- 1679389845
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 4704367893 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3901 Chrysler Dr Ste 3b
Detroit, MI 48201-2167
Phone: (313) 577-1396
Fax: (313) 577-1419
Approximate (ZIP-level) locationGet directions
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Additional practice locations (1)
- 100 Washington Ave S Ste 1210Minneapolis, MN 55401-2511Phone: (866) 492-5336
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.