Thomas W Gordon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9258350 Issued in NY

Practice address

107 Mineral Springs Rd
Highland Mills, NY 10930-6228

Phone

(914) 924-1598

NPI assigned

Oct 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Thomas W Gordon Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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 Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tom Gordon LCSW Therapy, PLLC

  • Psychoanalyst
  • Goshen, NY
  • NPI 1356040356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1508317363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 MAIN STREET",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "12508",
            "telephone_number": "845-756-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MINERAL SPRINGS RD",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109306228",
            "telephone_number": "914-924-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "9258350",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "32584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "GORDON",
            "middle_name": "W",
            "prefix": "MR.",
            "credential": "LMSW, CASAC-T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diane Gambino
• Zainab Kazmi Geer, RDN, CDN
• Jacqueline Noel Gentile
• Hindy Glauber, LMSW
• Susan Lynn Gold, LCSW-R, ACSW
• Jodi Graciani, OSC
• Carina Marie Graganella, COTA
• Susan Greeley, RDN
• Janice Groth, PTA
• Kathryn Grupp

• Addiction (Substance Use Disorder) Counselor in Highland Mills, NY
• Providers in Highland Mills, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.