Julie Ann Gomer, DBH

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

CC01538 Issued in MN

Practice address

13700 Reimer Dr N Ste 220
Maple Grove, MN 55311-4548

Phone

(763) 424-2474

Fax

(763) 424-2711

NPI assigned

Dec 26, 2011

Last updated

Aug 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Julie Ann Melius Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bristlecone to Go, Inc.

  dba Bristlecone Health

  • Nutrition Education Nutritionist
  • Maple Grove, MN
  • NPI 1134665748
  Authorized official Same address or phone
• Twin Towers, Inc.

  • General Practice Physician
  • Maple Grove, MN
  • NPI 1386109767
  Authorized official Same address or phone
• Twin Towers, Inc.

  dba Bristlecone Medical, Inc.

  • Family Medicine Physician
  • Maple Grove, MN
  • NPI 1609429646
  Authorized official Same address or phone

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1063781771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 REIMER DRIVE N.",
            "address_2": "SUITE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55311",
            "telephone_number": "763-424-2474",
            "fax_number": "763-424-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 REIMER DR N STE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114548",
            "telephone_number": "763-424-2474",
            "fax_number": "763-424-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DBH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-26",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "CC01538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MELIUS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Goettsche
• Bonnie Goff, RN
• Gogo Home Care LLC (Amada Senior Care Minneapolis-St. Paul)
• Jonathan Gogolakis, DPT
• Golden Homecare Services LLC
• Gopher (Maple Grove) TRS LLC (Havenwood of Maple Glen)
• Zeleke Belay Goshu, RPH
• Christine Suzanne Goudge Walker, MD
• Caroline (Kate) Gourley, LICSW
• Cierra Gowin

• Cognitive & Behavioral Psychologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Cognitive & Behavioral Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.