Active NPI
Laura J Gordon, PSYD, MA.CAGS
- School Psychologist
- Brooklyn, NY
National Provider Identifier
1073022646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 500149
- Practice address
- 44 Court St Ste 800
Brooklyn, NY 11201-4414 - Phone
- (718) 855-1312
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 500149 | MA | Primary |
Addresses
Primary practice location
44 Court St Ste 800
Brooklyn, NY 11201-4414
Mailing address
233 Beach 118TH St
Rockaway Park, NY 11694-2036
Phone (917) 974-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500149 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1073022646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 BEACH 118TH ST",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942036",
"telephone_number": "917-974-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 COURT ST STE 800",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014414",
"telephone_number": "718-855-1312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "LAURA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "PSYD, MA.CAGS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "500149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.