Individual provider Active NPI

Clara Ivon Jorge Gomez

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1972020030
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-65741 Issued in FL
Practice address
8975 Okeechobee Blvd Apt 303
West Palm Beach, FL 33411-5133
Phone
(561) 260-6871
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-65741 FL Primary

Addresses

Primary practice location

8975 Okeechobee Blvd Apt 303
West Palm Beach, FL 33411-5133

Mailing address

8975 Okeechobee Blvd Apt 303
West Palm Beach, FL 33411-5133
Phone (561) 260-6871

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

OrganizationSpecialtyStatusNew patients
Believe Behavioral Services Corp Behavior Analyst CurrentSince Jun 18, 2023 Accepting new patients

Locations

2001 Palm Beach Lakes Blvd
Ste 300Q
West Palm Beach, FL 33409
Phone (561) 260-6871

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1972020030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8975 OKEECHOBEE BLVD APT 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115133",
            "telephone_number": "561-260-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8975 OKEECHOBEE BLVD APT 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115133",
            "telephone_number": "561-260-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE GOMEZ",
        "first_name": "CLARA",
        "middle_name": "IVON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-65741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.