Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alfonso Gonzalez, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1679389845

Alfonso Gonzalez, PMHNP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2024, 2 years ago. Practices with University Physician Group, a 402-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

3901 Chrysler Dr Ste 3B
Detroit, MI 48201-2167
Phone: (313) 577-1396
Fax: (313) 577-1419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Washington Ave S Ste 1210, Minneapolis, MN 55401-2511 — (866) 492-5336

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704367893 (MI)

Record details

NPI number1679389845
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 3, 2024
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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