Active NPI
Raciel Gomez Golpe
- Behavior Technician
- Dunedin, FL
National Provider Identifier
1952975815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1483 Fresh Dr Apt a
Dunedin, FL 34698-5433 - Phone
- (786) 384-0389
- NPI assigned
- May 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1483 Fresh Dr Apt a
Dunedin, FL 34698-5433
Mailing address
1483 Fresh Dr Apt a
Dunedin, FL 34698-5433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109051000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Busy Bee ABA Therapy LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1952975815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 FRESH DR APT A",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346985433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1483 FRESH DR APT A",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346985433",
"telephone_number": "786-384-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ GOLPE",
"first_name": "RACIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-16",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109051000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.