Ricardo Gomez-Mendoza, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Choctaw, OK
NPI 1669501185 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669501185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 14625 NE 23Rd
Choctaw, OK 73020 - Phone
- (405) 390-8131
- Fax
- (405) 390-8134
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Youth & Family Center, Inc. | Past | Accepting new patients | |
| Tri-City Youth & Family Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
14625 NE 23Rd
Choctaw, OK 73020
Mailing address
PO Box 695
Choctaw, OK 73020-0695
Phone (405) 390-8131
Other providers in Choctaw, OK
- Whitney Kaye Gibson
- Steffani L Gitthens
- Gayla Ann Givens
- Gold Standard Healthcare, PLLC
- Gold Standard Pharmacy LLC
- Allie Good
- Casey Goodall
- Leslie Floyd Goodman
- Tara Goodson
- Kelly Rae Goodwin
All providers in Choctaw, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.