Susan H Gordon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

4545 42ND St NW
Suite 302
Washington, DC 20016-4623

Phone

(202) 363-5176

NPI assigned

Oct 15, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1306936612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 42ND ST NW",
            "address_2": "SUITE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164623",
            "telephone_number": "202-363-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 42ND ST NW",
            "address_2": "SUITE 302",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164623",
            "telephone_number": "202-363-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SUSAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Nicole Powers Gordon, NP
• Shantae Gordon
• Shashana Gordon
• Steven Gordon
• Susan Ellen Gordon, PH.D.
• Terry Gordon Jr., MD
• Valen Lonice Gordon, DO
• Valrie M Gordon
• Cory Raheem Gordy
• Orlando Gore

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.