Active NPI
David Gomes
- Psychoanalysis Psychologist
- New York, NY
National Provider Identifier
1265109060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- Practice address
- 522 W 157TH St Apt 2D
New York, NY 10032-7644 - Phone
- (212) 812-2183
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | TX | Primary |
Addresses
Primary practice location
522 W 157TH St Apt 2D
New York, NY 10032-7644
Mailing address
506 Northstar Dr
San Antonio, TX 78216-3741
Phone (646) 922-3944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012590 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanpour@icloud.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1265109060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 NORTHSTAR DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782163741",
"telephone_number": "646-922-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W 157TH ST APT 2D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100327644",
"telephone_number": "212-812-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "DAVID",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012590",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanpour@icloud.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "522 W 157th St Apt 2D",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100327644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.