Individual provider Active NPI

Gabriel Gomez, PSYD

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1538044086
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
296065 Issued in KY
Practice address
Bluegrass Health Psychology, Inc.
2220 Young Dr
Lexington, KY 40505-4219
Phone
(859) 277-1008
Fax
(859) 277-1083
NPI assigned
Aug 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20043955A IN
Clinical Psychologist 103TC0700X 296065 KY Primary

Addresses

Primary practice location

Bluegrass Health Psychology, Inc.
2220 Young Dr
Lexington, KY 40505-4219

Mailing address

Bluegrass Health Psychology, Inc.
4101 Tates Creek Ctr Dr Ste 150, PMB 123
Lexington, KY 40517-3096
Phone (859) 277-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251015000568 KY Practitioner - Clinical Psychologist 3779070537 Reassigns benefits to 1 organization
I20251209003538 IN Practitioner - Clinical Psychologist 3779070537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluegrass Health Psychology Inc.Group PAC ID 2668579061, 6 clinicians

Practice addresses (Care Compare)

125 N Weinbach Ave
Suite 630
Evansville, IN 47711-6616
Phone (859) 277-1008

2220 Young Dr
Lexington, KY 40505-4219
Phone (859) 277-1008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20043955AINMDClinical Psychologist
296065KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Health Psychology, Inc. Clinical CurrentSince Sep 30, 2025 Accepting new patients
Bluegrass Internal Medicine and Nephrology PastSince Sep 21, 2025 Accepting new patients

Locations

125 N Weinbach Ave
Ste 630
Evansville, IN 47711

5226 S East St
Ste A4
Indianapolis, IN 46227
Phone (317) 780-1610

2220 Young Dr
Lexington, KY 40505

4101 Tates Creek Centre Dr
Ste 150
Lexington, KY 40517
Phone (816) 456-7181

160 N Eagle Creek Dr
Ste 201
Lexington, KY 40509
Phone (859) 967-5000

2211 Greene Way
Louisville, KY 40220

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-bhp

Organizations & group practices 2

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": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1538044086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLUEGRASS HEALTH PSYCHOLOGY, INC.",
            "address_2": "4101 TATES CREEK CTR DR STE 150, PMB 123",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173096",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUEGRASS HEALTH PSYCHOLOGY, INC.",
            "address_2": "2220 YOUNG DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054219",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043955A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "296065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.