Ingrid E. Gomez, APSW, SAC-IT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

15576-130 Issued in WI

Practice address

2625 N Weil St
Milwaukee, WI 53212-3060

Phone

(414) 962-1200

Fax

(414) 962-2305

NPI assigned

Aug 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1669787800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N WEIL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123060",
            "telephone_number": "414-962-1200",
            "fax_number": "414-962-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N WEIL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123060",
            "telephone_number": "414-962-1200",
            "fax_number": "414-962-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "INGRID",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "APSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "15576-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APSW",
            "identifier": "127821-121",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAC-IT",
            "identifier": "15576-130",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Sara Gollhardt, MSW APSW
• Angela Kathryn Golon, PMHNP
• Alicia Golovin, DMD
• Michael Paul Golovin, DMD
• Carly Gomez
• Katelyn Gomez, R.N.
• Maria Del Carmen Gomez
• Nicholas Gomez, R.N.
• Paula Gomez, DDS
• Cibele Goncalves a Brilhante, DDS

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.