Organization Active NPI

Rhea Gordon PHD LLC

  • Clinical Psychologist
  • Decatur, GA
National Provider Identifier
1477976173
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1448 Issued in GA
Legal business name
RHEA GORDON PHD LLC
Practice address
1439 McLendon Drive
Decatur, GA 30033-1841
Phone
(404) 378-9444
Fax
(404) 378-9499
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Dr. Rhea Gordon, PHD
Title
Owner, Psychologist
Phone
(404) 378-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1448 GA Primary

Addresses

Primary practice location

1439 McLendon Drive
Decatur, GA 30033-1841

Mailing address

1439 McLendon Drive
Decatur, GA 30033-1841
Phone (404) 378-9444

National Provider Directory

National Provider Directory

Locations

1439 McLendon Dr
Decatur, GA 30033
Phone (404) 378-9444

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1477976173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 MCLENDON DRIVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331841",
            "telephone_number": "404-378-9444",
            "fax_number": "404-378-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 MCLENDON DRIVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331841",
            "telephone_number": "404-378-9444",
            "fax_number": "404-378-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEA GORDON PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-378-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.