IndividualActive
Anaximenes Gonzalez
NPI 1689148900 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Huntington, NY
Provider details
- NPI number
- 1689148900
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 663336 (NY)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
790 Park Ave
Huntington, NY 11743-4516
Phone: (631) 427-3700
Street-level locationGet directions
Mailing address
790 Park Ave
Huntington, NY 11743-4516
Additional practice locations (2)
- 790 Park AveHuntington, NY 11743-4516Phone: (631) 889-2955
- 28 Hofstra DrSmithtown, NY 11787-2019Phone: (631) 889-2955
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.