Organization Active NPI

Ana L. Gomez, Psy.D. P.a.

  • Clinical Psychologist
  • Maitland, FL
National Provider Identifier
1013040583
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6628 Issued in FL
Legal business name
ANA L. GOMEZ, PSY.D. P.A.
Practice address
202 Lookout PL
Suite 100
Maitland, FL 32751-4488
Phone
(407) 927-8154
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ana L Gomez, PSY.D.
Title
President
Phone
(407) 927-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6628 FL Primary

Addresses

Primary practice location

202 Lookout PL
Suite 100
Maitland, FL 32751-4488

Mailing address

202 Lookout PL
Suite 100
Maitland, FL 32751-4488
Phone (407) 927-8154

National Provider Directory

National Provider Directory

Locations

202 Lookout Pl
Ste 100
Maitland, FL 32751
Phone (407) 927-8154

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1013040583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 LOOKOUT PL",
            "address_2": "SUITE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514488",
            "telephone_number": "407-927-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 LOOKOUT PL",
            "address_2": "SUITE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514488",
            "telephone_number": "407-927-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA L. GOMEZ, PSY.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-927-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.