La Faune Yvette Gordon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14560 Issued in CA

Practice address

12829 Jarvis Ave
Los Angeles, CA 90061-2243

Phone

(310) 281-7350

NPI assigned

Oct 26, 2006

Last updated

Sep 9, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. La Faune Yvette Gordon-Conley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1144305996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 AVIATION BLVD # 389",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782805",
            "telephone_number": "310-281-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12829 JARVIS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612243",
            "telephone_number": "310-281-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LA FAUNE",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA FAUNE",
            "last_name": "GORDON-CONLEY",
            "middle_name": "YVETTE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hugh E Gordon, DC
• James Huntley Gordon, M.D.
• Jason Gordon, PT, DPT
• Kaitlyn Gordon
• Kenneth L. Gordon, M.D.
• Laurel Gordon, MD
• Lindsay Leigh Gordon, PHARM.D.
• Lynn K Gordon, M.D., PH.D.
• Martin L Gordon, M.D.
• Maureen Fulchiero Gordon, M.D.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.