Active NPI
Emily Suzanne Gomez, M.S.
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1356678528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50168
- Practice address
- 3520 E Shields Ave
Fresno, CA 93726-6923 - Phone
- (559) 593-9282
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 50168 | CA | Primary |
Addresses
Primary practice location
3520 E Shields Ave
Fresno, CA 93726-6923
Mailing address
3520 E Shields Ave
Fresno, CA 93726-6923
Phone (559) 539-9282
Other practice location 1
4041 Plaza Dr W
Fresno, CA 93702-1309
Phone (559) 538-1735
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50168 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Mind Above, a Professional Psychology Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba A Mind Above
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1669039327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1356678528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 E SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937266923",
"telephone_number": "559-539-9282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 E SHIELDS AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937266923",
"telephone_number": "559-593-9282"
}
],
"practiceLocations": [
{
"address_1": "4041 Plaza Dr W",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937021309",
"country_code": "US",
"telephone_number": "559-538-1735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ",
"first_name": "EMILY",
"middle_name": "SUZANNE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.