Gordium Mental Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GORDIUM MENTAL HEALTH

Practice address

4723 W Atlantic Ave St 21
Delray Beach, FL 33445

Phone

(561) 962-1771

Fax

(561) 209-0868

NPI assigned

Sep 1, 2016

Last updated

Mar 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arpana Shivdasani, P.A.

Title

Physicians Assistant

Phone

(561) 562-0674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1093262586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE ST 21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-962-1771",
            "fax_number": "561-209-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE ST 21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-962-1771",
            "fax_number": "561-209-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDIUM MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SHIVDASANI",
        "authorized_official_first_name": "ARPANA",
        "authorized_official_title_or_position": "PHYSICIANS ASSISTANT",
        "authorized_official_telephone_number": "561-562-0674",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy E. Goodman, D.O.
• Sarah Savieira Goodman, MD
• Steven I Goodman, M.D.
• Beatriz Gordillo
• Gordium Medical Services
• Gordium RX, LLC
• Gordium Trauma Recovery, LLC
• Nicanda Norrie Gordon, MD
• Ryan Michael Gore
• Roger Shelley Gorman, MD

• Mental Health Counselor in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.