Olivia Chinenye Gachomo, PMHMP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP127309 Issued in TX

Practice address

3724 Executive Center Dr
Austin, TX 78731-1646

Phone

(512) 452-2100

Fax

(855) 346-7410

NPI assigned

Jan 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.54 of 100Reported as group

Quality

72.94

Improvement activities

40

Cost

48.08

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Med Management Associates

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1508233040
  Medicare reassignment NPD

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1942690359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-452-2100",
            "fax_number": "855-346-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 EXECUTIVE CENTER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311646",
            "telephone_number": "512-452-2100",
            "fax_number": "855-346-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHOMO",
        "first_name": "OLIVIA",
        "middle_name": "CHINENYE",
        "credential": "PMHMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-24",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127309",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2020130222",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Gaber, LMFT SUPERVISOR
• Cheyenne Gabica, SLP-ASSISTANT
• Gable Counseling, LLC
• Jeremy Gabrysch, M.D.
• Weirner Gacasan, PT
• Carl Bruce Gacono, PH.D., ABAP
• Umeshchandra Girdhar Gadaria, MD
• Kristie Gaddis, D.C.
• Shyneice Lasha Gaddis, SHYNEICE
• Meghana Ashok Gadgil, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.