Dennett Howe Gordon, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003017 Issued in GA

Practice address

111 Green View Rd SW
Rome, GA 30165-4305

Phone

(706) 235-1400

Fax

(706) 510-1357

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• The Calm Center Inc.

  • Clinical Psychologist
  • Rome, GA
  • NPI 1780782128
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1285721753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5072",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301625072",
            "telephone_number": "706-235-1400",
            "fax_number": "706-378-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GREEN VIEW RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654305",
            "telephone_number": "706-235-1400",
            "fax_number": "706-510-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DENNETT",
        "middle_name": "HOWE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108296834B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Gonsalves, MD
• Raul Alberto Gonzalez, MD
• Christina Good, BCBA
• Alexander Gray Goodson, OTD, OTR/L
• Gordon Behavioral Sciences P.C.
• Sudie Jane Gordy, RD
• Jonathan Garrett Gore
• Rebecca Goss, LPN
• Camryn Gossett
• Susan S Gould, OT/CHT

• Psychologist in Rome, GA
• Providers in Rome, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.