Paola Gomez Diaz, PHD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18775 Issued in FL

Practice address

5400 S University Dr Ste 118
Davie, FL 33328-5309

Phone

(754) 465-1615

NPI assigned

Jan 27, 2021

Last updated

Jan 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: paola@caringtherapistsofbroward.com

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1053902635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 MAHOGANY RIDGE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 118",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285309",
            "telephone_number": "754-465-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ DIAZ",
        "first_name": "PAOLA",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Paola@caringtherapistsofbroward.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "5400 S University Dr Ste 118",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333285309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Elizabeth Goldman, M.S., CCC-SLP
• Wayne Goldman
• Elias Goldstein, D.C.
• Florencia Goluboff, MD
• Yaneli Gomero, RBT
• Emirzay De Jesus Gomez Garrido
• Jose Francisco Gomez Sosa, DDS
• Jorge Armando Gomez
• Juan Gomez
• Krystel Gomez

• Mental Health Counselor in Davie, FL
• Providers in Davie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.