Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Keith Robert Gonsor, PHD

Individual provider Clinical Psychologist · NPI 1497822787

Dr. Keith Robert Gonsor, PHD is a Clinical Psychologist in Massapequa, New York. Qualified in 1989, 37 years ago. Practices with Che Senior Psychological Services, PC, a 224-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

627 Broadway Ste 200
Massapequa, NY 11758-5031
Phone: (516) 799-6001
Fax: (516) 799-4464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 010346 (NY)

Record details

NPI number1497822787
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 9, 2007
Mailing address627 Broadway, Suite 200, Massapequa, NY 11758-5031

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Che Senior Psychological Services, Pc — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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