STEPHANIE GOMEZ (NPI# 1003244310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003244310 |
| Entity Type | Individual |
| Full Name | STEPHANIE GOMEZ |
| Practice Address |
7458 Santa Barbara Dr Rohnert Park CA 94928-3840 |
| Mailing Address |
3322 Chanate Rd Santa Rosa CA 95404-1708 |
| Practice Telephone | 7075654970 |
| Mailing Telephone | 7075654970 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 33237 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090227 | Stephanie Gomez | Technician | 113 Walnut Street, Junior, WV 26275 | 2020-10-16 |
| 1629682109 | Stephanie Jessica Gomez | Social Worker | 8219 Prickly Oak, San Antonio, TX 78223-4596 | 2020-09-02 |
| 1073166484 | Stephanie Alina Gomez | Technician/Technologist | 228 W Hospitality Ln Ste F2, San Bernardino, CA 92408-3268 | 2019-07-24 |
| 1447711601 | Stephanie Denise Gomez | Behavior Technician | 13027 Bermuda Ave, Chino, CA 91710-4563 | 2019-03-28 |
| 1639410046 | Stephanie Gomez | Marriage & Family Therapist | 2020 High St Ste E, Selma, CA 93662-3518 | 2013-03-11 |
| 1699071969 | Stephanie Marie Gomez | Social Worker | 3345 Western Center Blvd Ste 140, Fort Worth, TX 76137-1938 | 2011-02-04 |
| 1215574678 | Stephanie Kristal Gomez | Behavior Technician | 731 Mall Ring Cir Ste 215, Henderson, NV 89014-6691 | 2019-12-04 |
| 1609418235 | Stephanie Gomez | Student in an Organized Health Care Education/Training Program | 3770 W Ina Rd, Tucson, AZ 85741-2093 | 2019-10-15 |
| 1851943526 | Stephanie Gomez | Marriage & Family Therapist | 21545 Centre Pointe Pkwy, Santa Clarita, CA 91350-2947 | 2019-07-12 |
| 1538728084 | Stephanie Gomez | Behavioral Analyst | 2500 W Higgins Rd Ste 870, Hoffman Estates, IL 60169-7266 | 2019-06-09 |
| Street Address |
7458 SANTA BARBARA DR |
| City | ROHNERT PARK |
| State | CA |
| Zip Code | 94928-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961789 | Graton Transportation Service LLC | Taxi | 6071 Donna Ct, Rohnert Park, CA 94928 | 2020-10-27 |
| 1720636145 | Nicole Merryman | Dietitian, Registered | 150 Raleys Towne Centre, #3033, Rohnert Park, CA 94928 | 2019-08-28 |
| 1720518368 | Mary Elizabeth Sturgeon | Dentist | Rohnert Park Health Center Dental, 5900 State Farm Dr., 2nd Floor, Rohnert Park, CA 94928 | 2017-06-15 |
| 1932558491 | Carmen Pomares | Acupuncturist | 6040 Commerce Blvd Ste 105, Rohnert Park, CA 94928 | 2016-06-06 |
| 1689049215 | Hochima Denise Treppa | Marriage & Family Therapist | No. 2 Padre Town Center, Suite 100, Rohnert Park, CA 94928 | 2015-12-08 |
| 1457722282 | Joel Reynolds | Counselor | 5430 Commerce Blvd, 2g, Rohnert Park, CA 94928 | 2015-10-20 |
| 1932570272 | Jessica Wendt | Pharmacy Technician | 512 Ava Ave, Rohnet Pak, CA 94928 | 2015-10-13 |
| 1386992972 | Judith Alden Gould | Registered Nurse | 372 City Center Drive, Rohnert Park, CA 94928 | 2012-08-29 |
| 1316216476 | Cynthia Morfin | Counselor | 496 Santa Alicia Drive, Rohnert Park, CA 94928 | 2011-12-19 |
| 1255641411 | Anka Behavorial Health, Inc. | Community/Behavioral Health | 1033 San Francisco Way, Rohnert Park, CA 94928 | 2010-10-20 |
| Find all providers in zip 94928 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | ROHNERT PARK |
| Zip Code | 94928 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.