Organization Active NPI

Gordon Psychology Group, PC

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1093182255
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GORDON PSYCHOLOGY GROUP, PC
Practice address
7545 Irvine Center Dr Ste 200
Irvine, CA 92618-2933
Phone
(917) 324-8439
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
William Frederick Gordon
Title
Ceo/Clinical Director
Phone
(917) 324-8439

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

7545 Irvine Center Dr Ste 200
Irvine, CA 92618-2933

Mailing address

7545 Irvine Center Dr Ste 200
Irvine, CA 92618-2933
Phone (917) 324-8439

National Provider Directory

National Provider Directory

Locations

23331 El Toro Rd
Ste 102
Lake Forest, CA 92630
Phone (949) 633-8189

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1093182255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 IRVINE CENTER DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182933",
            "telephone_number": "917-324-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 IRVINE CENTER DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182933",
            "telephone_number": "917-324-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON PSYCHOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "917-324-8439"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.