Individual Healthcare Provider
Julie Ann Gomer, DBH
Provider's NPPES record last updated: August 8, 2017
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063781771
- Primary Specialty
- Psychologist — Cognitive & Behavioral
- Practice Location
- Maple Grove, Minnesota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:26 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Cognitive & Behavioral
Behavioral Health & Social Service Providers
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Taxonomy code 103TB0200X Nutritionist
Dietary & Nutritional Service Providers
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Taxonomy code 133N00000XNutritionist
Nutrition, Education
Dietary & Nutritional Service Providers
Definition to come...
Taxonomy code 133NN1002X
Provider-Reported License Information
- Psychologist (Minnesota)
- CC01538
Practice Locations
Practice Location
13700 Reimer Dr N Ste 220
Maple Grove, Minnesota 55311-4548
Phone: (763) 424-2474
Record Information
- Enumeration Date
- December 26, 2011
- Provider's NPPES Record Last Updated
- August 8, 2017
- NPISignal NPPES Dataset
- August 2026
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