Conrado Gomez, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011961 Issued in NY

Practice address

4510 Skillman Ave
Sunnyside, NY 11104-2117

Phone

(718) 433-3735

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Catholic Charities Neigborhood Services

  • Clinical Social Worker
  • Glendale, NY
  • NPI 1881910131
  NPD (past)
• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1093960049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042117",
            "telephone_number": "718-433-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 SKILLMAN AVE",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042117",
            "telephone_number": "718-433-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CONRADO",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global United Med Products
• Luis Glodowski, MD
• GMJS Pharmacy Inc
• David Goldhaber, D.P.M.
• Jay S Golub, DDS
• Jose Manuel Gonzalez Rivera, PHARM.D.
• Emily Gonzalez, LMSW
• Shaelen Grant, LMHC
• Greater New York Fertility PC
• Veronica Green, LCSW

• Psychologist in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.