Active NPI
Ana L. Gomez, Psy.D. P.a.
- Clinical Psychologist
- Maitland, FL
National Provider Identifier
1013040583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6628
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.