Carol Ellen Gordon, PSY.D.,CADC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005540 Issued in IL

Practice address

3255 N Arlington Heights Rd Ste 502
Arlington Heights, IL 60004-1586

Phone

(847) 815-4299

Fax

(847) 418-8948

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthcare Alternative Systems, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Park Ridge, IL
  • NPI 1306425103
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1184632457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 N ARLINGTON HEIGHTS RD STE 502",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041586",
            "telephone_number": "847-815-4299",
            "fax_number": "847-418-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 N ARLINGTON HEIGHTS RD STE 502",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041586",
            "telephone_number": "847-815-4299",
            "fax_number": "847-418-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CAROL",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.,CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George W Goodlow, M.D.
• Karlene E Goodman, MD
• Mitchell N. Goodman, PH.D.
• Joel E. Goodnough, M.D.
• Sarah M Goodworth, LCSW
• Shelby Paige Gordon
• Danila M Gorelov, APN-CRNA
• Kirsten Gornick
• Goshen Healthcare Inc
• Matthew James Gotta, DMD

• Clinical Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.