Patricia Gomez, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

21633 Avenue 24
Chowchilla, CA 93610-9650

Phone

(559) 600-6671

NPI assigned

Jan 4, 2007

Last updated

Jan 19, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1811044498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936100099",
            "telephone_number": "559-600-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21633 AVENUE 24",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936109650",
            "telephone_number": "559-600-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4785 North First Street",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Petros Ghermay, M.D.
• Sandy Schulte Gilcrest, ED.D.
• Delaney Ann Gilman
• Christopher Glass, PSY.D.
• Mariela Gomez Garcia, PSYD
• Babette Joyce Gonzales de Garcia, LPT
• Clarissa Gonzalez-Idiart, PH.D.
• Danielle Rene Gonzalez, LCSW
• Jessica Gonzalez
• Kimberly Gragston, ASW

• Mental Health Counselor in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.