EDILIA F. GOMES (NPI# 1992860571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992860571 |
Entity Type | Individual |
Full Name | EDILIA F. GOMES |
Credential | LICSW, PMHNP-BC |
Practice Address |
63 College Ave Somerville MA 02144 |
Practice Telephone | 6176233278 |
Practice Fax Number | 6176231332 |
Mailing Telephone | 6176233278 |
Mailing Fax Number | 6176231332 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2012-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | 111096 | MA | Behavioral Health & Social Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2270722 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
63 COLLEGE AVE |
City | SOMERVILLE |
State | MA |
Zip Code | 02144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346587482 | Daniel Lee Henderson | Counselor | 63 College Ave, Somerville, MA 02144-1957 | 2013-01-09 |
1356685309 | Tracy Moreland | Case Manager/Care Coordinator | 63 College Ave, Somerville, MA 02144-1957 | 2012-11-15 |
1538403712 | Emily Feigenberg | Case Manager/Care Coordinator | 63 College Ave, Somerville, MA 02144-1957 | 2012-11-12 |
1114291200 | Angela Karras | Counselor | 63 College Ave, Somerville, MA 02144-1957 | 2012-03-07 |
1295018950 | Amanda Elizabeth White-lief | Social Worker | 63 College Ave, Somerville, MA 02144-1957 | 2011-09-20 |
1316232994 | Isaiah Bartlett | Social Worker | 63 College Ave, Somerville, MA 02144-1957 | 2011-06-13 |
1265767016 | Ranjeev Benjamin | Counselor | 63 College Ave, Somerville, MA 02143 | 2009-10-13 |
1689879876 | Heather W Moon | Counselor | 63 College Ave, Somerville, MA 02144-1957 | 2007-06-18 |
1699984781 | Mary Lou Pierron | Psychologist | 63 College Ave, Somerville, MA 02144-1957 | 2007-05-22 |
1467678318 | Dana Jill Gordon | Counselor | 63 College Ave, Somerville, MA 02144-1957 | 2007-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
Find all providers in zip 02144 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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---|---|---|---|---|
1639790967 | Insight Behavioral Health Services, Pllc | Nurse Practitioner | 17422 Us Highway 64, Somerville, TN 38068-6160 | 2020-04-28 |
1104366608 | Donn Bullens Jr. | Nurse Practitioner | 401 Highland Ave, Somerville, MA 02144-2516 | 2017-03-02 |
1831460161 | Jennifer Suzanne Michael | Nurse Practitioner | 40 Holland St, Somerville, MA 02144-2705 | 2012-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
Find all providers with the same taxonomy |
City | SOMERVILLE |
Zip Code | 02144 |
Please comment or provide details below to improve the information on EDILIA F. GOMES.
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.