Active NPI
Carina Gomez, LCAT
- Counselor
- New York, NY
National Provider Identifier
1447606678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 002161-1
- Practice address
- 113 E 60TH St
New York, NY 10022-1939 - Phone
- (917) 828-0590
- NPI assigned
- May 6, 2016
- Last updated
- Jul 12, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 002161-1 | NY | Primary |
Addresses
Primary practice location
113 E 60TH St
New York, NY 10022-1939
Mailing address
10050 Great Hills TRL Apt 1103
Austin, TX 78759-5846
Phone (443) 844-6795
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002161-1 | NY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Behavioral Care Ipa Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1447606678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 GREAT HILLS TRL APT 1103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787595846",
"telephone_number": "443-844-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E 60TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221939",
"telephone_number": "917-828-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "CARINA",
"credential": "LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "002161-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 12, 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.