Nori Gordon, PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2362 Issued in CT

Legal business name

NORI GORDON, PSYD LLC

Practice address

36 Welles St
Suite 210
Glastonbury, CT 06033-2080

Phone

(860) 657-0668

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nori Gordon, PSY.D.NPI 1952451890

Title

Licensed Psychologist

Phone

(860) 657-0668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nori Gordon, PSY. D.

  • Clinical Psychologist
  • Glastonbury, CT
  • NPI 1952451890
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1598013161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WELLES ST",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WELLES ST",
            "address_2": "SUITE 210",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332080",
            "telephone_number": "860-657-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORI GORDON, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "NORI",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "860-657-0668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.