Madeline Gomez, MED

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2706 Eagle Lake Dr
Clermont, FL 34711-6269

Phone

(407) 516-2025

NPI assigned

Mar 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1609141399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 EAGLE LAKE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116269",
            "telephone_number": "407-516-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 EAGLE LAKE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116269",
            "telephone_number": "407-516-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MADELINE",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Eagle Dentistry PLLC
• Golden Gateway Corp
• Amy Jo Gomes, R.P.T.
• Alis Valeria Gomez Tovar, RBT
• Elizabeth Marie Gomez, OTR/L
• Jamie Marie Gonsalves, PSYD
• Emiangeliz Gonzalez Luna, DPT
• Stephanie M Gonzalez Sanchez
• Grace Gonzalez
• Jaime C Gonzalez, MD

• Counselor in Clermont, FL
• Providers in Clermont, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.