Goal Psychiatric Associates, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME97741 Issued in FL

Legal business name

GOAL PSYCHIATRIC ASSOCIATES, LLC

Practice address

1040 Weston Rd
Suite 210
Weston, FL 33326-1912

Phone

(954) 766-4702

Fax

(954) 766-4907

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Edwin A Gomez, MD

Title

Owner

Phone

(954) 766-4702

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1427338680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WESTON RD",
            "address_2": "SUITE 210",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261912",
            "telephone_number": "954-766-4702",
            "fax_number": "954-766-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WESTON RD",
            "address_2": "SUITE 210",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261912",
            "telephone_number": "954-766-4702",
            "fax_number": "954-766-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-766-4702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME97741",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME97741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001441900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "GM814A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Paulen Glazer, MD
• Christina Glenn
• Global Health Business Services (Unite global group)
• Globalesm, Inc
• GM International Consulting Inc
• Marissa Gobin, MD
• Wagih Gobrial, M.D.
• Maria Cristina Godin, OTR
• Linda Godinez, M.D.
• Dailyn Goenaga

• Psychiatry Physician in Weston, FL
• Providers in Weston, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.