David Paul Gordon, MSW

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

45-0463081 Issued in MN

Practice address

133 W 50TH St
Minneapolis, MN 55419-1307

Phone

(612) 281-7773

NPI assigned

Apr 27, 2007

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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, 1974

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David P. Gordon, LTD.

  • Psychoanalyst
  • Minneapolis, MN
  • NPI 1023273349
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1619197993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W 50TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191307",
            "telephone_number": "612-281-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W 50TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191307",
            "telephone_number": "612-281-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MN",
            "license": "45-0463081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE ID NUMBER",
            "identifier": "45-0463081",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perkin Gorder, RN
• Alexa Rae Gordner
• Kevin Gordon Robles
• Amy R Gordon, NP-C
• Beth Amelia Gordon, OTR
• Judi Marie Gordon, RN, LADC
• Kelsey Gordon
• Monica Gordon
• Nancy G Gordon, RD LD CDE
• Peter M Gordon, MD, PHD

• Psychoanalyst in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychoanalyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.