Gomez, Michael Daniel

Gomez, Michael Daniel is an sole proprietor health care provider with primary practice located at 1011 Veterans Memorial Pkwy , Riverside RI 02915-5061. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Gomez, Michael Daniel can be contacted via phone (401) 432-1000.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy Riverside RI 02915-5061
Phone: (401) 432-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1156 Oklahoma
Behavioral Health & Social Service Providers / Clinical 103TC0700X TLMLP1139 Kansas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 37162 Texas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS01997 Rhode Island

Profile Details

NPI number 1316121320
LBN Legal business name Gomez, Michael Daniel
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated Sep 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316121320 NPPES
Kansas MEDICAID 1841281805

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