DR. REBECCA JACOBS GORDON (NPI# 1841524592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841524592 |
| Entity Type | Individual |
| Full Name | DR. REBECCA JACOBS GORDON |
| Credential | PSY.D. |
| Practice Address |
31 Cherry St Suite 101 Milford CT 06460-3465 |
| Practice Telephone | 2037270825 |
| Mailing Telephone | 2037270825 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3283 | CT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 019720 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3283 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497265292 | Rebecca Gordon | Pharmacist | 208 N Antlers Pl, Bear, DE 19701-2766 | 2017-10-05 |
| 1518076769 | Rebecca Grace Gordon | Psychiatry & Neurology | 1639 E 19th, Eugene, OR 97403 | 2006-08-30 |
| 1376154484 | Rebecca Elaine Gordon | Technician | 620 W Pike St, Clarksburg, WV 26301-2663 | 2020-08-12 |
| 1417595323 | Rebecca Gordon | Social Worker | 222 Rockaway Tpke Ste 1, Cedarhurst, NY 11516-1833 | 2019-12-11 |
| 1629612692 | Rebecca Gordon | Student in an Organized Health Care Education/Training Program | 160 Convent Ave, New York, NY 10031-9101 | 2019-11-03 |
| 1457810590 | Rebecca Gordon | Behavior Technician | 54 Main St, Sturbridge, MA 01566-1281 | 2019-03-18 |
| 1255813796 | Rebecca Ann Gordon | Social Worker | 208 Roanoke Ave, Riverhead, NY 11901-2706 | 2018-08-31 |
| 1164904702 | Rebecca Anne Gordon | Physical Therapist | 2145 Country Club Rd Ste 800, Jacksonville, NC 28546-2400 | 2018-08-30 |
| 1801248596 | Rebecca Marie Gordon | Nurse Practitioner | 2196 E Williams Field Rd Ste 116, Gilbert, AZ 85295-0755 | 2016-07-06 |
| 1528458205 | Rebecca Gordon | Counselor | 625 E Main St, Santa Paula, CA 93060-2608 | 2015-02-02 |
| Street Address |
31 CHERRY ST SUITE 101 |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649495706 | Annmarie Carson | Marriage & Family Therapist | 31 Cherry St, 2nd Floor, Milford, CT 06460-3414 | 2007-04-16 |
| 1568094548 | Kristin Walleshauser | Counselor | 31 Cherry St, Milford, CT 06460-3465 | 2020-02-07 |
| 1861789539 | The Center for Family Counseling, LLC | Marriage & Family Therapist | 31 Cherry St, 2nd Fl @the Family Room, Milford, CT 06460 | 2011-07-01 |
| 1043528391 | Diane E, Casalaina, Ma, Ladc, LLC | Counselor | 31 Cherry St, Suite 101, Milford, CT 06460-3465 | 2010-09-21 |
| 1891012936 | Christine M Cowell | Marriage & Family Therapist | 31 Cherry St, Milford, CT 06460-3465 | 2010-04-29 |
| 1720254154 | Lisa-renee Perez-cabello | Marriage & Family Therapist | 31 Cherry St, Milford, CT 06460-3465 | 2008-05-06 |
| 1114127636 | The Family Room, LLC | Marriage & Family Therapist | 31 Cherry St, 2nd Floor, Front, Milford, CT 06460-3414 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1497129811 | Joy Zelikovsky | Psychologist | 55 Botsford Ave, Milford, CT 06460-5804 | 2015-11-23 |
| 1679973994 | Jcp Psychological Services P.C. | Psychologist | 7 Deerfield Ave, Milford, CT 06460-7317 | 2014-08-25 |
| 1952743965 | Courtney Marie Mattiace | Psychologist | 57 Cherry St, Milford, CT 06460-3414 | 2013-07-19 |
| 1730426768 | Natalie Jo Sandbulte | Psychologist | 910 10th St, Milford, IA 51351-1530 | 2013-01-10 |
| 1720219512 | Beyer and Associates Psychological Services | Psychologist | 1562 Hunters Lake Ct, Milford, MI 48380-3250 | 2009-07-28 |
| 1639341605 | Kimberly A. Massey | Psychologist | 57 Plains Rd Ste 2c, Milford, CT 06461-2573 | 2008-03-30 |
| 1548304959 | Jean M Wiedholz | Psychologist | 204 E Harford St, Milford, PA 18337-1004 | 2007-02-18 |
| 1437243284 | Michael Faff | Psychologist | 1800 N Milford Rd, Suite 100, Milford, MI 48381-1047 | 2006-10-03 |
| 1912004581 | Annette Renee Evans | Psychologist | 1042 N Milford Rd Ste 203, Milford, MI 48381-5109 | 2006-09-17 |
| Find all providers in MILFORD | ||||
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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.