Janna Gordon, PHD

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Practice address

7533 S Center View CT Ste R
West Jordan, UT 84084-5526

Phone

(801) 214-8401

NPI assigned

Feb 16, 2024

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 9, 2024 through Apr 9, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1639934854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 W PARKWAY BLVD UNIT 228",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841191986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 S CENTER VIEW CT STE R",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845526",
            "telephone_number": "801-214-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JANNA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Medical Group
• Christine Bryanne Goodell, D.D.S
• Leslie L Goodwin, MD
• Bryan Gordon, D.C.
• Crystal Miquel Gordon
• Madison Gordon
• Megan Gorton, DC
• Isaac Gottsch
• Bria Granados
• Granger Medical Clinic PC (Granger Medical West Jordan)

• Health Psychologist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Health Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.