DR. MICHAEL DANIEL GOMEZ PH.D.
NPI 1316121320
Psychologist - Clinical Child & Adolescent in Riverside, RI

Q: What is Michael Gomez's NPI number?

The NPI number for Michael Gomez is 1316121320. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Q: What is Michael Gomez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gomez was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 27, 2007PECOS Enrolled

1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915(401) 432-1000 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2021, Oct 24, 2018 (2 updates tracked since 2018).

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About Dr. Michael Daniel Gomez Ph.d. NPPES

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

DR. MICHAEL DANIEL GOMEZ PH.D. (NPI 1316121320) is an individual clinical child & adolescent provider in Riverside, Rhode Island, licensed in Rhode Island (PS01997) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316121320

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. MICHAEL DANIEL GOMEZCredential: PH.D.

Location Address1011 VETERANS MEMORIAL PKWYRiverside, RI 02915-5061

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779

Phone(401) 432-1000

Sole ProprietorYes

Enumeration DateDecember 27, 2007

Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1316121320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Licenses✔ Licensed in RI · PS01997✔ Licensed in TX · 37162

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License 1156 (OK)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License TLMLP1139 (KS)

1011 VETERANS MEMORIAL PKWY, Riverside, RI 02915

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Other Identifiers 1

Medicaid1841281805KS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Daniel Gomez Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JUSTYNA PIASECKA M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

DR. VAMSI C TUMMALACHETTY PSYD

Psychologist (Clinical)

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

MOLLIE BURNS LCSW

Social Worker (Clinical)

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

ELISE TAVERNA

Student in an Organized Health Care Education/Training Program

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

MARIA S REGAN MSW

Social Worker (Clinical)

1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02915

Providence County (401) 432-1160

DR. ORNELLA JUDITH POTTER MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

DR. ANDREA LILLIAN GOLD PH.D.

Psychologist (Clinical)

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

TANUJA P GANDHI M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

Providence County (401) 432-1000

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 Michael Gomez's NPI number?

The NPI number for Michael Gomez is 1316121320. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Michael Gomez located?

Michael Gomez practices at 1011 Veterans Memorial Pkwy, Riverside, RI 02915. The listed phone number is (401) 432-1000.

What is Michael Gomez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Michael Gomez enrolled in Medicare?

Yes. Michael Gomez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Gomez was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.