DR. BRUCE R. GORDON (NPI# 1083905707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083905707 |
| Entity Type | Individual |
| Full Name | DR. BRUCE R. GORDON |
| Credential | PH.D. |
| Practice Address |
270-26th St. Suite 202 Santa Monica CA 90402 |
| Mailing Address |
270-26th Street Suite 202 Santa Monica CA 90402 |
| Practice Telephone | 3104574442 |
| Practice Fax Number | 3104515674 |
| Mailing Telephone | 3104514442 |
| Mailing Fax Number | 3104515674 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY.757 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.757 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639457773 | Bruce A Gordon | General Practice | 8 Upland Ave, Mill Valley, CA 94941-1130 | 2011-07-22 |
| 1942430160 | Bruce Gordon | Social Worker | 778 Frontage Rd, Suite 115, Northfield, IL 60093-1209 | 2009-07-22 |
| 1760590699 | Bruce L. Gordon | Emergency Medicine | 2801 'l' Street, Sacramento, CA 95816 | 2006-08-29 |
| 1356354658 | Bruce David Gordon | Emergency Medicine | 410 Dewey St, Wisconsin Rapids, WI 54495-8070 | 2006-08-15 |
| 1760424758 | Bruce Lewis Gordon | Ophthalmology | 170 Maple Ave, Suite 402, White Plains, NY 10601-4710 | 2006-06-12 |
| 1952348153 | Bruce M Gordon | Internal Medicine | 8150 N Central Expy, Suite M1001, Dallas, TX 75206-1815 | 2006-05-31 |
| 1689622961 | Bruce G Gordon | Pediatrics | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-05 |
| 1881657104 | Bruce Gordon | Internal Medicine | 505 E 70th St, 2nd Floor, New York, NY 10021-4872 | 2006-04-08 |
| 1801880562 | Bruce Myron Gordon | Pharmacist | 310 Otto Ln, Gambrills, MD 21054-1056 | 2005-09-08 |
| 1467446542 | Bruce Roderick Gordon | Otolaryngology | 65 Cedar St, Hyannis, MA 02601-3009 | 2005-09-06 |
| Street Address |
270-26TH ST. SUITE 202 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972091999 | Foundation Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 222 Amalfi Dr, Santa Monica, CA 90402 | 2018-04-25 |
| 1154822997 | Leora Aframian | Dietitian, Registered | 805 Woodacres Rd, Santa Monica, CA 90402 | 2018-02-27 |
| 1881123917 | Brenda Heidrich | Psychologist | 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 | 2017-06-12 |
| 1578005559 | Dor Keyvani | Pharmacist | 326 San Vicente Blvd., Apt.n, Santa Monica, CA 90402 | 2016-11-08 |
| 1740426352 | Adel E. Salawy | Family Medicine | 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 | 2009-01-02 |
| 1093927899 | Martin S. Wasserman M.d. Inc. | Psychoanalyst | 510 E Channel Rd., Santa Monica., CA 90402 | 2007-05-04 |
| 1649339987 | Massoud Nemazee | Dentist | 757 Ocean Ave #307, Santa-monica, CA 90402 | 2006-12-06 |
| 1851468136 | Deborah Nadel | Psychiatry & Neurology | 304 Euclid St, Santa Monica, CA 90402 | 2006-11-29 |
| 1376592345 | David Lewis Geffner | Internal Medicine | 310 16th St., Santa Monica, CA 90402 | 2006-05-08 |
| 1124049689 | Polly A Badt | Physical Therapist | 9 Latimer Rd, Santa Monica, CA 90402-1011 | 2006-07-21 |
| Find all providers in zip 90402 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750468 | Erin Margolis | Psychologist | 1247 7th St Ste 200, Santa Monica, CA 90401-1660 | 2019-10-07 |
| 1063066132 | Lena Harris | Psychologist | 185 Pier Ave Ste 109, Santa Monica, CA 90405-5358 | 2019-07-27 |
| 1992364905 | Elisa Leal | Psychologist | 1831 Stanford St Ste 108, Santa Monica, CA 90404-4117 | 2019-06-12 |
| 1538628243 | Joanna M Ceppi | Psychologist | 2811 Wilshire Blvd Ste 660, Santa Monica, CA 90403-4823 | 2019-03-13 |
| 1013492388 | Gideon Psychology, PC | Psychologist | 1137 2nd St Ste 216, Santa Monica, CA 90403-5077 | 2018-10-02 |
| 1932615846 | Beth Levy | Psychologist | 3435 Ocean Park Blvd Ste 211, Santa Monica, CA 90405-3315 | 2017-12-15 |
| 1932633302 | Brenda Heidrich | Psychologist | 270 26th St Ste 202, Santa Monica, CA 90402-2543 | 2017-04-12 |
| 1972052694 | Lisa Burklund | Psychologist | 429 Santa Monica Blvd Ste 460, Santa Monica, CA 90401-3455 | 2016-09-22 |
| 1265987861 | Diana Devilliers | Psychologist | 138 Bicknell Ave, Santa Monica, CA 90405-2221 | 2016-08-24 |
| 1205212420 | Anna Selena Cho | Psychologist | 169 Pier Ave., Suite 5, Santa Monica, CA 90405-5311 | 2015-08-11 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90402 |
Please comment or provide details below to improve the information on DR. BRUCE R. GORDON.
| 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.