Emily C Gordon, PHD CLINICAL PSYCHOL

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2477 Issued in NC

Practice address

540 Aiken Rd
Asheville, NC 28804-8742

Phone

(828) 645-1539

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emily C Gordon PHD PA

  • Clinical Psychologist
  • Asheville, NC
  • NPI 1336398114
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1003981051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 AIKEN ROAD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288048742",
            "telephone_number": "828-645-1539",
            "fax_number": "828-645-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 AIKEN RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288048742",
            "telephone_number": "828-645-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EMILY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD CLINICAL PSYCHOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "562151539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0436K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Lee Goossens, MSW, LCSW
• Amanda Marie Gopal, LCSW
• Olivia Goranson
• Dale R Gordineer, M.D.
• Melanie Cornelia Gordon-Calabrese
• Erin Nicole Gordon, DO
• James Milton Gordon, RPH
• Molly Isabelle Gordon, MSW, LCSWA
• Samuel Ryan Gordon, MD
• Sara E Gordon, LCSW

• Clinical Psychologist in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.