STEPHANIE GOMEZ


Address: 7458 Santa Barbara Dr, Rohnert Park, CA 94928-3840
Phone: 7075654970

STEPHANIE GOMEZ (NPI# 1003244310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 33237 CA Nursing Service Providers

Other Providers STEPHANIE GOMEZ

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

Office Location

Street Address 7458 SANTA BARBARA DR
City ROHNERT PARK
State CA
Zip Code 94928-3840

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City ROHNERT PARK
Zip Code 94928

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Dataset Information

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.

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