NPIMap

Organization Active NPI

Ysabel Gomez Clinical Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
National Provider Identifier
1689158545
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YSABEL GOMEZ CLINICAL SERVICES LLC
Practice address
90 Madison St FL 3
Worcester, MA 01608-2058
Phone
(978) 990-6060
NPI assigned
Sep 17, 2018
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Ysabel C Gomez, MANPI 1932511292
Title
Owner
Phone
(978) 990-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

90 Madison St FL 3
Worcester, MA 01608-2058

Mailing address

90 Madison St Ste 302
Worcester, MA 01608-2072
Phone (978) 990-6060

Other practice location 1

100 Barber Ave
Worcester, MA 01606-2464
Phone (978) 990-6060

National Provider Directory

National Provider Directory

Locations

90 Madison St
Fl 3
Worcester, MA 01608
Phone (978) 990-6060

100 Barber Ave
Worcester, MA 01606
Phone (978) 990-6060

90 Madison St
Ste 302
Worcester, MA 01608
Phone (508) 713-0297

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1689158545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON ST STE 302",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082072",
            "telephone_number": "978-990-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON ST FL 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082058",
            "telephone_number": "978-990-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Barber Ave",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016062464",
            "country_code": "US",
            "telephone_number": "978-990-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YSABEL GOMEZ CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "YSABEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-990-6060",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.