Individual provider Active NPI

Shalanda Nichelle Gordon-Robinson, PH.D.

  • Psychologist
  • Plano, TX
National Provider Identifier
1649500463
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34687 Issued in TX
Practice address
5200 McDermott Rd Ste 220
Plano, TX 75024-7767
Phone
(214) 396-9699
Fax
(844) 895-4585
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 34687 TX
Psychologist 103T00000X 34687 TX Primary

Addresses

Primary practice location

5200 McDermott Rd Ste 220
Plano, TX 75024-7767

Mailing address

5200 McDermott Rd Ste 220
Plano, TX 75024-7767
Phone (214) 396-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34687TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Behavioral Health Services, Inc Psychologist PastSince Jan 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1649500463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MCDERMOTT RD STE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247767",
            "telephone_number": "214-396-9699",
            "fax_number": "844-895-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MCDERMOTT RD STE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247767",
            "telephone_number": "214-396-9699",
            "fax_number": "844-895-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-ROBINSON",
        "first_name": "SHALANDA",
        "middle_name": "NICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34687",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.