Derrick M Gordon (NPI# 1730690835, PAC ID# 8325301567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1730690835 |
| PAC ID by PECOS | 8325301567 |
| Professional Enrollment ID | I20180420001919 |
| Full Name | Derrick M Gordon |
| Address |
389 Whitney Ave New Haven CT 06511-2301 |
| Phone Number | 2036754228 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 389 Whitney Ave, New Haven, CT 06511-2301 | 2036754228 |
| Street Address |
389 WHITNEY AVE |
| City | NEW HAVEN |
| State | CT |
| Zip | 06511-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Snow | Psychologist, Clinical | 389 Whitney Ave, New Haven, CT 06511-2301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra M Bond | Psychologist, Clinical | 147 Bishop Sreet, New Haven, CT 06511 | |
| Lubna Pal | Obstetrics/gynecology | Yale University | 150 Sergent Dr, New Haven, CT 06511 |
| Pasquale Patrizio | Obstetrics/gynecology | Yale University | 150 Sergent Dr, New Haven, CT 06511 |
| Ellen D Nasper | Psychologist, Clinical | 7 Burns St, New Haven, CT 06511-1301 | |
| Asefeh Heiat | Internal Medicine | 390 Livingston St, New Haven, CT 06511-1336 | |
| Cynthia G Nunes | Clinical Social Worker | Continuum of Care, Inc. | 660 Winchester Ave, New Haven, CT 06511-1969 |
| John P Labieniec | Clinical Social Worker | Continuum of Care, Inc. | 660 Winchester Ave, New Haven, CT 06511-1969 |
| John W Ringwald | Psychologist, Clinical | 400 Prospect St, New Haven, CT 06511-2181 | |
| Vally Coggshall | Clinical Social Worker | 400 Prospect St, New Haven, CT 06511-2181 | |
| Mark Aprn Pierce | Nurse Practitioner | Planned Parenthood of Southern New England Inc | 345 Whitney Ave, New Haven, CT 06511-2348 |
| Find all physicians in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | NEW HAVEN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Derrick M Gordon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.