Barbara Jacobs Gordon, M.S.C.C.C.SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

543 Issued in MA

Practice address

451 Andover St
Suite 165
North Andover, MA 01845-5044

Phone

(978) 794-1899

Fax

(978) 794-4445

NPI assigned

Jan 2, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316004237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BATESON DR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103401",
            "telephone_number": "978-475-2839",
            "fax_number": "978-794-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE 165",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-794-1899",
            "fax_number": "978-794-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "BARBARA",
        "middle_name": "JACOBS",
        "credential": "M.S.C.C.C.SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO",
            "identifier": "SP0015",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank Gomez, LMFT
• Joseline Ivette Gonzalez
• Good Harbor Behavioral Health LLC
• Pushpa Gopal, M.D.
• Gordon Physical Therapy LLC
• William F Gordon, PT
• Michael Raymond Goretti, PHARMD
• Sarah Marie Goretti, RN
• Helen Smith Gorman, LMHC
• Dianna Gormley, CNP

• Speech-Language Pathologist in North Andover, MA
• Providers in North Andover, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.