Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GONZALO HERRADON
DeactivatedGONZALO HERRADON is a Geriatric Psychologist healthcare provider located in PLYMOUTH, Michigan. NPI 1184400228 is deactivated in the NPPES registry. Verify at CMS.
Geriatric Psychologist · PLYMOUTH, MI
This NPI has been deactivated.
The record was deactivated on September 5, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1184400228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2023
- Last Updated
- Jun 2, 2025
- Deactivated
- Sep 5, 2023
Practice Information
- Address
-
575 S MAIN STPLYMOUTH, MI, 481701778Browse MI providers · Browse ZIP 48170
- Phone
- 7344517800
- Primary Specialty
-
Geriatric Psychologist
103TP2701X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.