DR. WILLIAM FREDERICK GORDON (NPI# 1699003376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699003376 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM FREDERICK GORDON |
| Credential | PH.D |
| Practice Address |
1211 Puerta Del Sol San Clemente CA 92673 |
| Mailing Address |
420 Monterey Ln Apt 4a San Clemente CA 92672 |
| Practice Telephone | 9492765553 |
| Mailing Telephone | 9492765553 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2014-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY 22596 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326482704 | William F Gordon | Physical Therapist | 70 Main St Ste 201, North Andover, MA 01845-2427 | 2013-04-29 |
| 1194033118 | William Patrick Gordon | Obstetrics & Gynecology | 1106 Burr Ridge Club Drive, Burr Ridge, IL 60527-5214 | 2010-09-24 |
| 1376784363 | William Michael Gordon | Counselor | 301 The City Dr S # 2090, Orange, CA 92868-3205 | 2009-03-20 |
| 1801912654 | William H Gordon | Dentist | 1904 Front St, Suite 530, Durham, NC 27705-2583 | 2007-03-22 |
| 1992733125 | William Gordon | Pharmacist | 6849 Arlington Dr, West Bloomfield, MI 48322-2720 | 2006-06-28 |
| 1730152182 | William Michael Gordon | Dentist | 840 Tiogue Ave, Coventry, RI 02816 | 2006-02-08 |
| 1528050069 | William David Gordon | Optometrist | 3000 Forsythe Ave, Monroe, LA 71201-3012 | 2005-08-19 |
| 1093278491 | William Gordon | Pharmacist | 4500 Weitzel St, Timnath, CO 80547-4416 | 2019-04-11 |
| 1790211746 | William Gordon | Registered Nurse | 750 N Estrella Pkwy Ste 40, Goodyear, AZ 85338-9279 | 2017-05-11 |
| 1992239099 | William Robert Gordon | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St, Oac Suite 200, Oklahoma City, OK 73104-5010 | 2017-04-14 |
| Street Address |
1211 PUERTA DEL SOL |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619419181 | Malgorzata Inga Orcutt | Marriage & Family Therapist | 1211 Puerta Del Sol, Suite 280, San Clemente, CA 92673-6306 | 2016-11-15 |
| 1487196333 | Greta Meyerhof | Marriage & Family Therapist | 1211 Puerta Del Sol, 200, San Clemente, CA 92673-6306 | 2016-11-09 |
| 1629453691 | Albert Modad | Psychologist | 1211 Puerta Del Sol, San Clemente, CA 92673-6306 | 2015-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| 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 |
|---|---|---|---|---|
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1568604288 | Pamela N Skorstad | Psychologist | 647 Camino De Los Mares Ste 226, San Clemente, CA 92673-2860 | 2009-03-26 |
| 1922631928 | Matthew Ryan Chester | Psychologist | 101 W Avenida Vista Hermosa Ste 120, San Clemente, CA 92672-7707 | 2020-02-18 |
| 1831615467 | Lily Randall | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673-2832 | 2017-08-15 |
| 1063887016 | Howard Medical Corp | Psychologist | 101 W Avenida Vista Hermosa Ste 122, San Clemente, CA 92672-7707 | 2015-12-02 |
| 1396955258 | Jennifer Lafferty O'connor | Psychologist | 616 S El Camino Real, Suite G16, San Clemente, CA 92672-4298 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306690 | Eileen Kay Laughman | Psychologist | 24545 Town Center Dr Apt 5406, Valencia, CA 91355-1397 | 2020-11-08 |
| 1194324954 | Rachel Charman | Psychologist | 1001 Dove St Ste 110, Newport Beach, CA 92660-2845 | 2020-10-22 |
| 1700485760 | Melissa Ernestine Munoz | Psychologist | 353 H St # 1517, Chula Vista, CA 91910-5501 | 2020-10-21 |
| 1235737669 | Maha Nasrallah-babenko | Psychologist | 33442 Valley View Ct, Dana Point, CA 92629-1515 | 2020-10-16 |
| 1689272544 | Kaleidoscope Solutions Family Therapy | Psychologist | 25876 The Old Road, #85, Stevenson Ranch, CA 91381 | 2020-10-13 |
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1376159541 | Jill Caryn Campbell | Psychologist | 342 Ocho Rios Way, Oak Park, CA 91377-5541 | 2020-09-22 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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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.