MR. JUAN GABRIEL GOMEZ PMHNP NPI 1801322755

NPI Information

NPI: 1801322755
Provider Name: MR. JUAN GABRIEL GOMEZ, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: JEWISH FAMILY AND CHILDRENS SERVICE

PECOS Registration: Yes

Address:
5701 W TALAVI BLVD STE 180
GLENDALE, AZ
ZIP 85306
Phone: (480) 335-8010
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MR. Juan Gabriel Gomez, PMHNP is a psychiatric/mental health nurse practitioner in Glendale, AZ with 7 years of experience. MR. Juan Gabriel Gomez, PMHNP NPI is 1801322755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5701 W TALAVI BLVD STE 180
GLENDALE, AZ
ZIP 85306-888
Phone: (480) 335-8010

The NPI 1801322755 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 8/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP10242	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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