Andrew Gordy, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015160 Issued in NY

Practice address

380 Lexington Ave
Suite 1733
New York, NY 10168-0002

Phone

(646) 862-2852

NPI assigned

Dec 14, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1225190846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LEXINGTON AVE",
            "address_2": "SUITE 1733",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101680002",
            "telephone_number": "646-862-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LEXINGTON AVE",
            "address_2": "SUITE 1733",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101680002",
            "telephone_number": "646-862-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Gordon, LPN
• Vilma Martinez Gordon, LCSW
• Wayne Gordon, M.D.
• Yekaterina Gordon, M.D.
• Zachary Gordon
• Elana Gordy
• Ankita Gore, MD
• Daniel Joseph Gore, MD
• Emily Gore, MD
• Victoria Grace Gore, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.