Denise Gordon, PSYCHOLOGIST

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

PSY 22322 Issued in CA

Practice address

4343 Yaqui Pass Road
Borrego Springs, CA 92004-2369

Phone

(760) 767-5051

Fax

(760) 767-4552

NPI assigned

Dec 22, 2008

Last updated

Dec 22, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1295971208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 YAQUI PASS ROAD",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920042369",
            "telephone_number": "760-767-5051",
            "fax_number": "760-767-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 YAQUI PASS ROAD",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920042369",
            "telephone_number": "760-767-5051",
            "fax_number": "760-767-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "PSY 22322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "PSY 22322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Baker-Fortiner, PT (Fortiner Physical Therapy)
• Dap Health, Inc. (DAP Health-Woolcott Dental Clinic)
• Dap Health, Inc. (DAP Health-Borrego Springs Community Health Center)
• Dap Health, Inc. (Borrego Springs Pharmacy)
• Shrinda Gamache, DACM
• James M Huot, M.D.
• Kathleen Sarah Johnson, PT
• Chris Marshall
• Timothy Steven Martinez, DMD
• Pamela Thompson McEvoy, PHD PSYCHOLOGIST

• Marriage & Family Therapist in Borrego Springs, CA
• Providers in Borrego Springs, CA by specialty
• Marriage & Family Therapist in California

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