Individual provider Active NPI

Tamar Gordon, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1326144023
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016630 Issued in NY
Practice address
241 Central Park W Apt 1D
New York, NY 10024-4545
Phone
(917) 972-5671
NPI assigned
Sep 16, 2006
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016630 NY Primary

Addresses

Primary practice location

241 Central Park W Apt 1D
New York, NY 10024-4545

Mailing address

241 Central Park W Apt 1D
New York, NY 10024-4545
Phone (917) 972-5671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 16, 2019 through Jul 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
016630NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamar Gordon Psychology PLLC Clinical CurrentSince Dec 26, 2021 Accepting new patients
Westchester Jewish Community Services Inc. PastSince Apr 6, 2023 Accepting new patients
Westchester Jewish Community Services Inc. PastSince Oct 3, 2010 Accepting new patients

Locations

125 W 72nd St
Rm 4R
New York, NY 10023
Phone (347) 565-5278

241 Cpw
Apt 1D
New York, NY 10024
Phone (212) 595-9543

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1326144023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CENTRAL PARK W APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244545",
            "telephone_number": "917-972-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CENTRAL PARK W APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244545",
            "telephone_number": "917-972-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TAMAR",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.