Active NPI
Clara Ivon Jorge Gomez
- Behavior Analyst
- West Palm Beach, FL
National Provider Identifier
1972020030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-65741
- 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
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 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Believe Behavioral Services Corp | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- West Palm Beach, FL
- NPI 1790384006
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.