Verenice G Garcia de Gomez, CLINICAL PSYCH BS

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Practice address

5805 Sepulveda Blvd Ste 710
Van Nuys, CA 91411-2522

Phone

(818) 980-3200

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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 and National Provider Directory roles.

• Hamburger Home

  • Community/Behavioral Health Agency
  • Van Nuys, CA
  • NPI 1073643292
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1376769828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 710",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112522",
            "telephone_number": "818-980-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 710",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112522",
            "telephone_number": "818-980-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA DE GOMEZ",
        "first_name": "VERENICE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "CLINICAL PSYCH BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Cecilia Galvez
• Parvis Gamagami, MD
• Gamma Diagnostic Inc
• Gamma Home Health, Inc.
• Samantha Gando
• Cynthia Garcia Ojeda
• Maricela Garcia Pena
• Maria D Garcia Vega, COTA/L
• Alejandra V Garcia-Palencia, B.A.
• Alexandra Garcia

• Adolescent and Children Mental Health Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.