Individual provider Active NPI

Rhonda Gordon, PSYD

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1083462477
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35043 Issued in CA
Practice address
2 N Lake Ave Ste 800
Pasadena, CA 91101-1870
Phone
(800) 314-7273
NPI assigned
May 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35043 CA Primary

Addresses

Primary practice location

2 N Lake Ave Ste 800
Pasadena, CA 91101-1870

Mailing address

2212 Heritage Way
Fullerton, CA 92833-1229
Phone (310) 617-3685

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

LicenseStateTypeSpecialty
35043CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Persona Neuro Behavior Group Inc. CurrentSince May 12, 2024 Accepting new patients

Locations

2 N Lake Ave
Ste 800
Pasadena, CA 91101
Phone (626) 449-2484

Organizations & group practices 1

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1083462477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 HERITAGE WAY",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331229",
            "telephone_number": "310-617-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N LAKE AVE STE 800",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011870",
            "telephone_number": "800-314-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RHONDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.