Gordon'S Cognitive Balance Center Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

JG720701 Issued in MS

Legal business name

GORDON'S COGNITIVE BALANCE CENTER INC

Practice address

113-41 Farmers Blvd
St. Albans, NY 11412

Phone

(914) 258-7547

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James James Gordon I, PHD

Title

President

Phone

(914) 258-7547

Specialties & licenses 1

Addresses

Other names 1

• Gordon's Cognitive Balance Center Inc Former legal business name

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1366833683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11341 FARMERS BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122425",
            "telephone_number": "914-258-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113-41 FARMERS BLVD",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "11412",
            "telephone_number": "914-258-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON'S COGNITIVE BALANCE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-258-7547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "MS",
            "license": "JG720701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon's Cognitive Balance Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Robin Goldenback
• Ivan Gonzalez, D.P.M
• Aneka Amala Gopaulsingh
• Chanelle Gordon, FNP-C
• James Antonio Gordon, PH.D
• Grace Adult Daycare-Multiservice LLC
• Todd Brandon Graham
• Jessica Grant, OTR/L
• Genene Gray-Bercy
• Victoria Elizabeth Gray, FNP

• Community Health Worker in St. Albans, NY
• Providers in St. Albans, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.