Individual provider Active NPI

Emilie Marie-Dominique Gomart, M.SC.

  • Marriage & Family Therapist
  • Silver Spring, MD
National Provider Identifier
1740790971
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LGM653 Issued in MD
Practice address
13200 New Hampshire Ave
Silver Spring, MD 20904-3433
Phone
(301) 960-1198
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LGM653 MD Primary

Addresses

Primary practice location

13200 New Hampshire Ave
Silver Spring, MD 20904-3433

Mailing address

5305 Blackistone Rd
Bethesda, MD 20816-1822
Phone (301) 767-6879

Other names 1

  • Emilie M. Berg-Gomart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGM653MDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1740790971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 BLACKISTONE RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161822",
            "telephone_number": "301-767-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 NEW HAMPSHIRE AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043433",
            "telephone_number": "301-960-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMART",
        "first_name": "EMILIE",
        "middle_name": "MARIE-DOMINIQUE",
        "name_prefix": "Mrs.",
        "credential": "M.SC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "BERG-GOMART",
            "middle_name": "M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.