Debra Gomez and Associates, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DEBRA GOMEZ AND ASSOCIATES, INC.

Practice address

1607 N Aurora Rd Ste 204
Naperville, IL 60563-2786

Phone

(630) 991-6499

NPI assigned

Jun 25, 2018

Last updated

Jun 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Debra Kelley

Title

President

Phone

(630) 991-6499

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Kelly Gomez, PH.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1760617666
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1174018873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 HAVERHILL DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027016",
            "telephone_number": "630-991-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 N AURORA RD STE 204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632786",
            "telephone_number": "630-991-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA GOMEZ AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-991-6499",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel F Debartolo, M.D.
• Marie Debartolo, APN
• Debbie Carsten, L.C.S.W.
• Danielle Deboer, DNP, FNP-C
• Alex Christopher Debolt
• Debra J Koopmann & Associates, LLC
• Deciphex Inc (Diagnexia US)
• Keith Dedecker, DPT
• Katelyn Dedic, M.S.ED, PEL-SC
• Emily Margaret Deeney, BCBA

• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.