Bonnie Gordic, PSYD, MPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00585800 Issued in NJ

Practice address

24 N 3Rd Ave Ste 111C
Highland Park, NJ 08904-2429

Phone

(732) 595-2953

NPI assigned

Jul 17, 2018

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

Enrolled in NJ

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bonnie Gordic PSYD LLC

  • Clinical Psychologist
  • Highland Park, NJ
  • NPI 1326924333
  NPD Authorized official

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1356827984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 3RD AVE STE 111C",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042429",
            "telephone_number": "732-595-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N 3RD AVE STE 111C",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042429",
            "telephone_number": "732-595-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIC",
        "first_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "PSYD, MPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00585800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GMD Physical & Occupational Therapy, LLC
• Eliane Goldman, LCSW
• Alexandra Goldstein
• Yisroel Goldstein, PHD
• Rachel Golum, PSY.D
• Stephen Jay Gordon, M.D.
• Nicole Gott, BCBA
• Ora Gourarie, PSY.D.
• Miriam Rebecca Gross, MS, RD
• Bruce Harvey Grossman, D.C.

• Clinical Psychologist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.