DR. MICHAEL DANIEL GOMEZ PH.D. NPI 1316121320

NPI Information

  • NPI: 1316121320
  • Provider Name: DR. MICHAEL DANIEL GOMEZ, PH.D.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1011 VETERANS MEMORIAL PKWY
    RIVERSIDE, RI
    ZIP 02915
  • Phone: (401) 432-1000

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NPI Details

DR. Michael Daniel Gomez, PH.D. is a clinical child and adolescent psychologist in Riverside, RI. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Michael Daniel Gomez, PH.D. NPI is 1316121320. 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:

1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI
ZIP 02915-061
Phone: (401) 432-1000

The NPI 1316121320 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.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 9/28/2021.

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
1103T00000XPsychologist1156OKLAHOMANo
2103TC0700XPsychologistClinicalTLMLP1139KANSASNo
3103TC2200XPsychologistClinical Child & Adolescent37162TEXASNo
4103TC2200XPsychologistClinical Child & AdolescentPS01997RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11841281805MEDICAIDKANSAS

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: 11/21/2025

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