Individual provider Active NPI

Steven Mark Gordon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1013925783
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R144658 Issued in MD
Practice address
8945 Guilford Rd Ste 140
Columbia, MD 21046-2659
Phone
(410) 988-2503
Fax
(410) 343-7899
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R144658 MD Primary

Addresses

Primary practice location

8945 Guilford Rd Ste 140
Columbia, MD 21046-2659

Mailing address

8945 Guilford Rd Ste 140
Columbia, MD 21046-2659
Phone (410) 988-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130925000037 MD Practitioner - Nurse Practitioner 9436393873 Reassigns benefits to 2 organizations
I20251202000288 DC Practitioner - Nurse Practitioner 9436393873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Steven M Gordon LLCGroup PAC ID 0244745438, 4 clinicians

Practice addresses (Care Compare)

8730 Georgia Ave
Silver Spring, MD 20910-3604
Phone (410) 988-2503

8945 Guilford Rd
Suite 140
Columbia, MD 21046-2659
Phone (410) 988-2503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Therapeutics LLC Psychiatric/Mental Health CurrentSince Jun 30, 2023 Accepting new patients
Steven M Gordon LLC Psychiatric/Mental Health CurrentSince Jun 3, 2025 Accepting new patients

Locations

8945 Guilford Rd
Ste 140
Columbia, MD 21046
Phone (410) 936-7041

8730 Georgia Ave
Silver Spring, MD 20910
Phone (410) 988-2503

8730 Georgia Ave
Ste 312
Silver Spring, MD 20910
Phone (410) 988-2503

222 Bosley Ave
Ste B1
Towson, MD 21204
Phone (410) 988-2503

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1013925783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 GUILFORD RD STE 140",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462659",
            "telephone_number": "410-988-2503",
            "fax_number": "410-343-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 GUILFORD RD STE 140",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462659",
            "telephone_number": "410-988-2503",
            "fax_number": "410-343-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R144658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.