Winlock Pediatrics LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WINLOCK PEDIATRICS LLC

Practice address

19540 Front St NE
Poulsbo, WA 98370-7316

Phone

(564) 218-6135

NPI assigned

Sep 7, 2022

Last updated

Jul 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Violeta M Gomez, MDNPI 1497985899

Title

Owner

Phone

(470) 733-0321

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Violeta Mercedes Gomez, M.D.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Belfair, WA
  • NPI 1497985899

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1033830161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 NE WINLOCK WAY",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709258",
            "telephone_number": "470-733-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19540 FRONT ST NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707316",
            "telephone_number": "564-218-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2341 NE Winlock Way",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983709258",
            "country_code": "US",
            "telephone_number": "470-733-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINLOCK PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-733-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "60912725",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "winlockpediatrics.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2341 NE Winlock Way",
            "city": "Poulsbo",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983709258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dennis M Willerford, M.D.
• Christine Leigh Willi, N.D.
• Alicia Amy Williams, PTA
• Ron A Williams, RPH
• Alec Wilson, ARNP, PMHNP-BC
• Patricia Lynn Winningham, BCBA
• Kaylee Wonder, DMD
• Mary Jo Woodfield, LMP
• Workwise Therapy Services Limited
• Ariana Wright, CCC-SLP

• Adolescent and Children Mental Health Clinic/Center in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Adolescent and Children Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.