Dr. Carlos C. Gomez & Associates, PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY7327 Issued in FL

Legal business name

DR. CARLOS C. GOMEZ & ASSOCIATES, PA

Doing business as

Center for Human Formation

Practice address

9495 SW 72ND Avenue
Suite B295
Miami, FL 33173

Phone

(786) 879-7007

Fax

(786) 221-3978

NPI assigned

Sep 12, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Camilo Gomez, PHD

Title

Psychologist /Owner

Phone

(786) 879-7007

Specialties & licenses 1

Addresses

Other names 1

• Center for Human Formation Doing business as

Locations

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1932534666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 SW 72ND AVENUE",
            "address_2": "SUITE B295",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "786-879-7007",
            "fax_number": "786-221-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 SW 72ND AVENUE",
            "address_2": "SUITE B295",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "786-879-7007",
            "fax_number": "786-221-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CARLOS C. GOMEZ & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "CAMILO",
        "authorized_official_title_or_position": "PSYCHOLOGIST /OWNER",
        "authorized_official_telephone_number": "786-879-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Human Formation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.