Tinamarie Rovito Gomez, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023661 Issued in NY

Practice address

1050 Forest Hill Rd
Staten Island, NY 10314-6356

Phone

(718) 494-5355

Fax

(718) 494-2258

NPI assigned

May 7, 2020

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• United Cerebral Palsy Assoc of Nys Inc

  • Clinic/Center
  • Staten Island, NY
  • NPI 1376600551
  Medicare reassignment NPD
• United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Woodside, NY
  • NPI 1255496642
  NPD
• United Cerebral Palsy Associations of New York State, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1366507758
  NPD
• United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1285799684
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1831711316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CARRIAGE WAY",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080053394",
            "telephone_number": "917-363-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FOREST HILL RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146356",
            "telephone_number": "718-494-5355",
            "fax_number": "718-494-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVITO GOMEZ",
        "first_name": "TINAMARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rouming Tots Inc
• George Panagiotis Roussis, MD
• Nicholas Panagiotis Roussis, MD
• Adam Routher, CRPA
• Mitchell Frank Rouzie, M.S.W.
• Germaine N Rowe, MD
• Holly Odianna Rowe, RN
• Jordan Roy
• Lauren Sara Roy
• Lisa Nirban Roy

• Clinical Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.