DR. MICHAEL DANIEL GOMEZ (NPI# 1316121320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316121320 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DANIEL GOMEZ |
| Credential | PH.D. |
| Practice Address |
6610 Quaker Ave Lubbock TX 79413 |
| Mailing Address |
Po Box 5865 Lubbock TX 79408-5865 |
| Practice Telephone | 8067434270 |
| Practice Fax Number | 8067439097 |
| Mailing Telephone | 8067432898 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1156 | OK | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
TLMLP1139 | KS | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
37162 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 1841281805 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3601 4th St # Ms 9406, Lubbock, TX 794300002 | 8067436624 | 8067432314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167801 | Michael Gomez | Nurse Practitioner | 8723 Botts St, San Antonio, TX 78217-6334 | 2020-02-21 |
| 1659720712 | Michael Gomez | Counselor | 721 N. Lasalle St., Chicago, IL 60654 | 2016-06-09 |
| 1922277268 | Michael Gomez | Urology | 2850 S. Wabash Ave., Suite 106, Chicago, IL 60616-2491 | 2008-02-20 |
| 1457553828 | Michael Enrique Gomez | Neurological Surgery | 6200 Sunset Dr Ste 130, South Miami, FL 33143-4832 | 2007-06-05 |
| 1194843722 | Michael J Gomez | Pediatrics | 8925 Sw 148th St Ste 110, Village of Palmetto Bay, FL 33176-8000 | 2007-03-26 |
| 1811037542 | Michael Raymond Gomez | Dentist | 2639 Walnut St, Huntington Park, CA 90255-5709 | 2007-02-08 |
| 1477606366 | Michael Alexander Gomez | Optometrist | 1770 W 32nd Pl, Hialeah, FL 33012-4512 | 2007-01-22 |
| 1619941028 | Michael Ray Gomez | Dentist | 2151 S College Dr, Suite 202, Santa Maria, CA 93455-1302 | 2006-02-14 |
| 1144836974 | Michael Anthony Gomez | Dentist | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2020-09-17 |
| 1992193700 | Michael Gomez | Physical Therapy Assistant | 2010 Wilshire Blvd, Suite 800, Los Angeles, CA 90057-3507 | 2014-12-31 |
| Street Address |
6610 QUAKER AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851801344 | Kirby Blair Wood | Counselor | 6610 Quaker Ave, Lubbock, TX 79413 | 2017-10-10 |
| 1366968075 | Kimberly Ruthardt | Counselor | 6610 Quaker Ave, Lubbock, TX 79413 | 2017-08-15 |
| 1245772896 | Desiree N. Walisky | Social Worker | 6610 Quaker Ave, Lubbock, TX 79413 | 2016-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
| 1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
| 1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
| 1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
| 1457572109 | Sphinx Sunrunners Inc | Assisted Living Facility | 3319 35th St, Lubbock, TX 79413 | 2007-05-01 |
| Find all providers in zip 79413 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396354718 | Tarrah Mitchell | Psychologist | 3918 125th St, Lubbock, TX 79423-8906 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048417 | Marissa L Benners | Psychologist | 3304 Colorado Blvd Ste 102, Denton, TX 76210-6872 | 2020-09-22 |
| 1235741778 | Capital Area Psychological & Evaluation Services, Pllc | Psychologist | 1715 W Fm 1626 Ste 200, Manchaca, TX 78652-3549 | 2020-08-17 |
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1790341261 | Ann Caballero | Psychologist | 20333 St Hwy 249 Ste 200, Houston, TX 77070-2613 | 2019-05-10 |
| 1396231064 | Crystal Gayle | Psychologist | 3626 N Hall St Ste 550, Dallas, TX 75219-5105 | 2018-07-06 |
| 1104314533 | Kelly Nicole Banneyer | Psychologist | 6701 Fannin St Ste 1630, Houston, TX 77030-2615 | 2018-05-01 |
| 1679086615 | Houston Psychology and Wellness, Pllc | Psychologist | 1111 North Loop W Ste 820, Houston, TX 77008-4715 | 2017-11-13 |
| 1053820068 | Mark Anthon Lott | Psychologist | 2222 Medical District Dr Ste 105, Dallas, TX 75235-8075 | 2017-09-21 |
| Find all providers with the same taxonomy | ||||
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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.