Tina M Gomez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

17461 Allen Rd
Melvindale, MI 48122-1026

Phone

(313) 364-9042

NPI assigned

Jun 9, 2020

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dimensions of Wellness, Inc., a Nonprofit Corporation

  • Psychiatry Physician
  • Melvindale, MI
  • NPI 1942840731

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1801411590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 MORRIS AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013525",
            "telephone_number": "313-737-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17461 ALLEN RD",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221026",
            "telephone_number": "313-364-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "TINA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Rashid Elhasan, R.PH
• Farooq Sons LLC
• Hisham Fittahy, PT, DPT, C/NDT
• Aishah Gabbar
• Gog Pharmacy PLLC (Gog Pharmacy)
• Great Lakes Medical Transit LLC
• Madison Hassa, PTA
• Jessica Hayes
• Nora Amin Hussin
• I Dennis Potocsky DDS PC

• Marriage & Family Therapist in Melvindale, MI
• Providers in Melvindale, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.