Individual provider Active NPI

Yaimara D Fernandez Gomez

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1528599628
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
23187 SW 108TH CT
Miami, FL 33170-7536
Phone
(786) 548-6774
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Mental Health Counselor 101YM0800X MH21788 FL

Addresses

Primary practice location

23187 SW 108TH CT
Miami, FL 33170-7536

Mailing address

23187 SW 108TH CT
Miami, FL 33170-7536
Phone (786) 548-6774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201000493 FL Practitioner - Mental Health Counselor 1557719531 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21788FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Mental Health Solutions Corp Behavior Analyst CurrentSince Nov 20, 2023 Accepting new patients

Locations

10700 Caribbean Blvd
Ste 402
Cutler Bay, FL 33189
Phone (786) 250-3040

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1528599628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23187 SW 108TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707536",
            "telephone_number": "786-548-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23187 SW 108TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331707536",
            "telephone_number": "786-548-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ GOMEZ",
        "first_name": "YAIMARA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.