DR. VANESSA FONSECA GOMES PHD
NPI 1609191840
Psychologist - Clinical in Smithtown, NY

Active since March 31, 2010Opted out of Medicare · through Feb 1, 2028
811 W JERICHO TPKE, 106E, SMITHTOWN, NY 11787(631) 265-9850 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vanessa Fonseca Gomes Phd NPPES

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

DR. VANESSA FONSECA GOMES PHD (NPI 1609191840) is an individual clinical provider in Smithtown, New York, licensed in New York (018134) and active in the NPI registry since March 2010. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1609191840
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VANESSA FONSECA GOMESCredential: PHD
Location Address811 W JERICHO TPKE, 106ESmithtown, NY 11787-3232
Mailing Address811 W Jericho Tpke, 106eSmithtown, NY 11787-3232 · (631) 265-9850
Sole ProprietorNo
Enumeration DateMarch 31, 2010
NPI 1609191840 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 NY · 018134
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.

811 W JERICHO TPKE, Smithtown, NY 11787

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Vanessa Fonseca Gomes Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Social Worker
811 W JERICHO TPKE
SMITHTOWN, NY 11787
Massage Therapist
811 W JERICHO TPKE
SMITHTOWN, NY 11787
Social Worker (Clinical)
811 W JERICHO TPKE
SMITHTOWN, NY 11787
Social Worker
811 W JERICHO TPKE, SUITE 106E
SMITHTOWN, NY 11787

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 Vanessa Gomes's NPI number?

The NPI number for Vanessa Gomes is 1609191840. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Vanessa Gomes located?

Vanessa Gomes practices at 811 W Jericho Tpke 106E, Smithtown, NY 11787. The listed phone number is (631) 265-9850.

What is Vanessa Gomes's specialty?

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

Is Vanessa Gomes enrolled in Medicare?

No. Vanessa Gomes has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Vanessa Gomes was last updated on March 31, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.