MISS TRACY LYNN GOMEZ (PSYD LP) – Clinical Psychologist, NPI 1164606273
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 CLINICAL PSYCHOLOGIST in MI
Provider Addresses for MISS TRACY LYNN GOMEZ (PSYD LP)
22 W 2nd St
Monroe, MI 481612326
Phone: (734) 241-0142
Type: Location
17461 Allen Rd
Melvindale, MI 481221026
Phone: (313) 364-9042
Type: Location
1783, Council Avenue, Lincoln Park, Wayne County, Michigan, 48146, United States
LINCOLN PARK, MI 481461206
Phone: (313) 388-6466
Type: Mailing
200, North Macomb Street, Monroe, Monroe County, Michigan, 48162, United States
MONROE, MI 481622904
Phone: (734) 240-1760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-05-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170523002632 | I | Clinical Psychologist | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $0 |
Insurance plans in this area (ZIP 48161)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Family Practice | MI | |
| Family Practice | OH | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Family Practice | OR | |
| Physician Assistant | OH | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| - | MI |
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