Active NPI
Keishalee Gomez, PHD
- Clinical Psychologist
- Guaynabo, PR
National Provider Identifier
1154804292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5937
- Practice address
- Centro Internacional de Mercadeo
Suite 403
Guaynabo, PR 00968 - Phone
- (787) 392-7275
- NPI assigned
- Sep 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5937 | PR | Primary |
Addresses
Primary practice location
Centro Internacional de Mercadeo
Suite 403
Guaynabo, PR 00968
Mailing address
Estancias de Yauco
E4 Calle Diamante
Yauco, PR 00698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5937 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1154804292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESTANCIAS DE YAUCO",
"address_2": "E4 CALLE DIAMANTE",
"city": "YAUCO",
"state": "PR",
"postal_code": "00698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO INTERNACIONAL DE MERCADEO",
"address_2": "SUITE 403",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-392-7275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "KEISHALEE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.