CASSANDRA PATRICIA GOMEZ


Address: 3433 Broadway St Ne, Suite 160, Minneapolis, MN 55413-1740
Phone: 6123782363

CASSANDRA PATRICIA GOMEZ (NPI# 1538328976) 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) 1538328976
Entity Type Individual
Full Name CASSANDRA PATRICIA GOMEZ
Credential MA
Practice Address 3433 Broadway St Ne
Suite 160
Minneapolis
MN 55413-1740
Practice Telephone 6123782363
Practice Fax Number 6123782215
Mailing Telephone 6123782363
Mailing Fax Number 6123782215
Enumeration Date 2008-06-02
Last Update Date 2008-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 3433 BROADWAY ST NE
SUITE 160
City MINNEAPOLIS
State MN
Zip Code 55413-1740

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1417287806 Minnesota Visiting Nurse Agency Home Health 3433 Broadway St Ne, Suite 300, Minneapolis, MN 55413-1740 2010-01-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City MINNEAPOLIS
Zip Code 55413

Improve Information

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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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