ROBERT GORDON (NPI# 1417991225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417991225 |
| Entity Type | Individual |
| Full Name | ROBERT GORDON |
| Credential | M.ED. |
| Practice Address |
3550 Concord Rd Suite 4 York PA 17402-8626 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178516340 |
| Practice Fax Number | 7178516349 |
| Mailing Telephone | 7178516340 |
| Mailing Fax Number | 7178516349 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PS002355L | PA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PS002355L | PA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS002355L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | VALUE OPTIONS | 119323 | 01 |
| PA | CIGNA BEHAVIORAL HEALTH | 2176815 | 01 |
| PA | CAPITAL BLUE CROSS | 01097501 | 01 |
| PA | PA BLUE SHIELD | GO154450 | 01 |
| PA | MAGELLAN | 279849000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105429 | Robert Henry Gordon Sr. | Homemaker | 1119 Sand Creek Loop, Ocoee, FL 34761-1434 | 2020-08-17 |
| 1952643652 | Robert B Gordon | Durable Medical Equipment & Medical Supplies | 4552 Mcknight Rd, Pittsburgh, PA 15237 | 2013-03-20 |
| 1619298387 | Robert William Gordon | Radiology | 85 Seymour St Ste 400, Hartford, CT 06106-5501 | 2010-06-17 |
| 1083939391 | Robert Dana Gordon | Transplant Surgery | 520 Cameron Manor Way Nw, Atlanta, GA 30328-6202 | 2010-03-30 |
| 1144452798 | Robert K Gordon | Family Medicine | 400 W Camelback Rd, Suite 209, Phoenix, AZ 85013-2330 | 2009-08-17 |
| 1811147028 | Robert Sproat Gordon | Family Medicine | 13 Coronad Circle, Angel Fire, NM 87710 | 2008-09-24 |
| 1487815072 | Robert Gordon | Psychologist | 13355 Noel Road, Suite 1910, Dallas, TX 75240 | 2008-06-17 |
| 1760652531 | Robert Seth Gordon | Psychiatry & Neurology | 611 S Kansas Ave Ste 101, Topeka, KS 66603 | 2008-03-07 |
| 1891972675 | Robert James Gordon | Marriage & Family Therapist | 1023 Executive Parkway Dr Ste 10, Creve Coeur, MO 63141-6323 | 2008-01-23 |
| 1649470394 | Robert Morris Gordon | Psychiatry & Neurology | 651 Bering Dr, #1801, Houston, TX 77057-2133 | 2007-07-20 |
| Street Address |
3550 CONCORD RD SUITE 4 |
| City | YORK |
| State | PA |
| Zip Code | 17402-8626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050778 | Frank Joseph Stanko | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2005-11-15 |
| 1336769348 | Catherine Hewlett | Nurse Practitioner | 3550 Concord Rd, York, PA 17402-8626 | 2020-04-20 |
| 1760022651 | Maureen K Staub | Social Worker | 3550 Concord Rd, York, PA 17402-8626 | 2020-01-09 |
| 1790331221 | Mary Catherine Norman | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2019-08-12 |
| 1073016515 | Alexandra Mattern-roggelin | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2018-03-12 |
| 1447708292 | Ariel Nickesha Nickie | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2016-09-21 |
| 1083000806 | Lindsay Elizabeth Campbell | Psychiatry & Neurology | 3550 Concord Rd, York, PA 17402-8626 | 2015-04-08 |
| 1134535628 | Brienna Rauhauser | Social Worker | 3550 Concord Rd, York, PA 17402-8626 | 2014-07-07 |
| 1669806659 | Lori Warner Barth | Nurse Practitioner | 3550 Concord Rd, York, PA 17402-8626 | 2013-08-26 |
| 1881027480 | Karen Jean Ahern | Counselor | 3550 Concord Rd, York, PA 17402-8626 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316322431 | Gary Joseph Loya | Psychologist | 2025 Kentucky Dr, York, NE 68467-2219 | 2015-07-30 |
| 1215182639 | Kimberly L Neptune | Psychologist | 625 E. Philadelphia, York, PA 17403 | 2008-11-26 |
| 1144406695 | Sabra N Abboud | Psychologist | 3601 Concord Rd, York, PA 17402-8741 | 2008-01-15 |
| 1699892489 | Louis D. Poloni | Psychologist | 2200 S George St Ste W1, York, PA 17403-4594 | 2007-03-25 |
| 1326170846 | Laurie Shirey Deardorff | Psychologist | 458 Melrie Dr, York, PA 17403 | 2007-03-10 |
| 1265472005 | Linda C Monahon | Psychologist | 433 Us Route 1, Cottage Place #205, York, ME 03909-1659 | 2006-06-08 |
| 1265063952 | Leah Bielski | Psychologist | 2351 Freedom Way Ste 200, York, PA 17402-9282 | 2020-01-31 |
| 1073016515 | Alexandra Mattern-roggelin | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2018-03-12 |
| 1326559600 | Hart To Hart Psychological Associates, LLC | Psychologist | 10 S Rockburn St, York, PA 17402-2862 | 2017-10-13 |
| 1619225695 | Laura Ann Kise | Psychologist | 3550 Concord Rd, York, PA 17402-8626 | 2012-08-22 |
| Find all providers in YORK | ||||
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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.