Brenda L Gomez, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

31708 Issued in CA

Practice address

7364 Seafarer PL
Carlsbad, CA 92011-4672

Phone

(312) 451-8633

NPI assigned

Mar 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Embodied Self Psychology, Inc.

  • Clinical Psychologist
  • Murrieta, CA
  • NPI 1851167506
  NPD Authorized official

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1437787249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7364 SEAFARER PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114672",
            "telephone_number": "312-451-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7364 SEAFARER PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114672",
            "telephone_number": "312-451-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "31708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Goldman-Phelps
• Steven Paul Goldsmith, MD
• Amy Goldstein, BCBA
• Hernan Goldsztein, MD
• Yajaira Maria Gomez Gomez
• Jazmine Gomez
• Kaileigh Gomez
• Karen Gomez
• Miguel Gomez
• Stephanie Gomez

• Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; 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.