JENNIFER G. GORDON, PH.D., P.C. (NPI# 1285898981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285898981 |
| Entity Type | Organization |
| Organization Name | JENNIFER G. GORDON, PH.D., P.C. |
| Practice Address |
1639 E 19th Ave Eugene OR 97403-1902 |
| Practice Telephone | 5413388033 |
| Practice Fax Number | 5414853343 |
| Mailing Telephone | 5413388033 |
| Mailing Fax Number | 5414853343 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |
| Authorized Official Name | DR. JENNIFER GORDON (OWNER/PSYCHOLOGIST) |
| Authorized Official Telephone | 5413388033 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1348 | OR | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JENNIFER G. GORDON, PH.D., P.C. | 1639 E 19th Ave, Eugene, OR 97403 |
| Street Address |
1639 E 19TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97403-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932182912 | Jennifer Gordon | Psychologist | 1639 E 19th Ave, Eugene, OR 97403-1902 | 2005-11-23 |
| 1770643066 | Ronda M Roberts | Pediatrics | 1639 E 19th Ave, Eugene, OR 97403-1906 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1407361207 | Cynthia Lorraine Mort | Massage Therapist | 1904 Garden Ave, Suite 204, Eugene, OR 97403 | 2017-12-04 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1982862108 | Jeannie E Edwards | Massage Therapist | 1624 E 23rd, Eugene, OR 97403 | 2008-05-23 |
| 1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1396963278 | Kathleen Wiley | Internal Medicine | 1590 E. 13 Th St., University of Oregon Health Center, Eugene, OR 97403 | 2007-04-23 |
| 1376761908 | Jan Elizabeth Halvorson | Dentist | University of Oregon Health Center, 1590 E 19th Ave, Eugene, OR 97403 | 2007-04-20 |
| 1295873917 | Sylvia Bertha Robinson Weisshaupt | Counselor | 2170 Elk Avenue, Eugene, OR 97403 | 2007-02-02 |
| 1528134681 | Patricia Anne Wyss | Nurse Practitioner | 3579 Franklin Boulevard, Eugene, OR 97403 | 2006-11-28 |
| Find all providers in zip 97403 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203515 | New Summit Behavioral Therapy, LLC | Community/Behavioral Health | 1056 Green Acres Rd # 102-360, Eugene, OR 97408-1505 | 2020-04-02 |
| 1114574936 | Invictus Therapy and Consultation LLC | Community/Behavioral Health | 1320 W 2nd Ave # 2a, Eugene, OR 97402-4127 | 2019-08-26 |
| 1538720297 | Kendall Thornton Psyd LLC | Community/Behavioral Health | 132 E Broadway Ste 500, Eugene, OR 97401-3127 | 2019-06-24 |
| 1538586649 | Holt International Children's Services, Inc. | Community/Behavioral Health | 250 Country Club Rd, Eugene, OR 97401 | 2014-03-26 |
| 1013238815 | Looking Glass Youth & Family Services | Community/Behavioral Health | 2655 Martin Luther King Jr Blvd, Eugene, OR 97401-5899 | 2010-06-15 |
| 1437478807 | Looking Glass Youth and Family Services | Community/Behavioral Health | 2655 Mlk Jr Blvd, Eugene, OR 97401-5899 | 2010-05-25 |
| 1275864985 | Vista Counseling & Consultation, Inc. | Community/Behavioral Health | 1551 Pearl St, Eugene, OR 97401-4010 | 2010-01-20 |
| 1013243070 | University of Oregon Counseling Center | Community/Behavioral Health | 1590 East 13th Avenue, Eugene, OR 97403-1232 | 2009-10-27 |
| 1982849121 | Lane County Youth Services | Community/Behavioral Health | 2727 Martin Luther King Jr Blvd, Eugene, OR 97401-5901 | 2008-12-02 |
| 1184788796 | Integrated Health Clinics of Eugene | Community/Behavioral Health | 715 Lincoln St, Eugene, OR 97401-2502 | 2006-12-20 |
| Find all providers in EUGENE | ||||
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| 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.