Healthcare Provider Details

I. General information

NPI: 1568715613
Provider Name (Legal Business Name): MELISSA GILBERT GOMES PH,D., PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2012
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 YMCA WAY STE A
HAMPTON VA
23669-3963
US

IV. Provider business mailing address

14 BRIDLEWOOD DR
PALMYRA VA
22963-2633
US

V. Phone/Fax

Practice location:
  • Phone: 757-320-4482
  • Fax:
Mailing address:
  • Phone: 757-320-4482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024170504
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: