Tracy Lynn Gomez, PSYD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018298 Issued in MI

Practice address

730 N Macomb St Ste 200
Monroe, MI 48162-2904

Phone

(734) 240-1760

NPI assigned

Dec 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Dimensions of Wellness Inc a Nonprofit CorporationGroup PAC ID 3870953987, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dimensions of Wellness, Inc., a Nonprofit Corporation

  • Psychiatry Physician
  • Melvindale, MI
  • NPI 1942840731

  Psychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Mercy Memorial Hospital Corporatio

  dba Promedica Monroe Regional Hospital

  • General Acute Care Hospital
  • Monroe, MI
  • NPI 1811097223
  Medicare reassignment NPD
• Promedica Monroe Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1194078055

  MI

  Medicare reassignment NPD
• Mercy Memorial Hospital Corporation

  dba Monroe Cancer Center

  • Specialist
  • Monroe, MI
  • NPI 1376997551
  NPD

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1164606273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 COUNCIL AVE",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461206",
            "telephone_number": "313-388-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N MACOMB ST STE 200",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622904",
            "telephone_number": "734-240-1760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17461 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Melvindale",
            "state": "MI",
            "postal_code": "481221026",
            "country_code": "US",
            "telephone_number": "313-364-9042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481612326",
            "country_code": "US",
            "telephone_number": "734-241-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PSYD LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nicole Goff, LPN
• Claire Goins
• Fay Goins
• Jacob J Goins
• Michael Patrick Golden, DO
• Nathan Gonda, DO
• Greg Good, CRNA
• Ashley Goodell
• Hanuman Gowda
• Daniel Lee Gramlich, N.P.

• Clinical Psychologist in Monroe, MI
• Providers in Monroe, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.