ELENA NOELLE GOMEZ
NPI 1093066359
Psychologist - Clinical in San Francisco, CA

Active since September 27, 2012PECOS EnrolledAccepts Medicare Assignment
1801 BUSH ST STE 209, SAN FRANCISCO, CA 94109(415) 323-0161 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2021, May 17, 2021, Jan 13, 2020 (3 updates tracked since 2020).

About Elena Noelle Gomez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELENA NOELLE GOMEZ (NPI 1093066359) is an individual clinical provider in San Francisco, California, licensed in California (28948) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093066359
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELENA NOELLE GOMEZ
Location Address1801 BUSH ST STE 209San Francisco, CA 94109-5297
Mailing Address936b 7th St # 152Novato, CA 94945-3002 · (415) 323-0161
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2012
Last NPPES UpdateOctober 25, 20213 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
NPI 1093066359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 28948
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1801 BUSH ST STE 209, San Francisco, CA 94109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elena Noelle Gomez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587948526
PECOS Enrollment IDI20170310002045
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1801 BUSH ST STE 209
SAN FRANCISCO, CA 94109
Psychologist (Clinical)
1801 BUSH ST STE 209
SAN FRANCISCO, CA 94109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elena Gomez's NPI number?

The NPI number for Elena Gomez is 1093066359. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Elena Gomez located?

Elena Gomez practices at 1801 Bush St Ste 209, San Francisco, CA 94109. The listed phone number is (415) 323-0161.

What is Elena Gomez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elena Gomez enrolled in Medicare?

Yes. Elena Gomez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elena Gomez was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.