Active NPI
Ann Gordon, PH.D.
- Psychologist
- Oakland, CA
National Provider Identifier
1659709228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY22302
- Practice address
- 230 Grand Ave
Ste 204
Oakland, CA 94610-4559 - Phone
- (510) 501-5972
- Fax
- (510) 380-6847
- NPI assigned
- Oct 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY22302 | CA | Primary |
Addresses
Primary practice location
230 Grand Ave
Ste 204
Oakland, CA 94610-4559
Mailing address
230 Grand Ave
Ste 204
Oakland, CA 94610-4559
Phone (510) 501-5972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22302 | CA | MD | Psychologist |
| 22302 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dba Nancy Freitas Lambert PSYD | Past | 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.
-
- Community/Behavioral Health Agency
- San Rafael, CA
- NPI 1902204597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1659709228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GRAND AVE",
"address_2": "STE 204",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104559",
"telephone_number": "510-501-5972",
"fax_number": "510-380-6847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GRAND AVE",
"address_2": "STE 204",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104559",
"telephone_number": "510-501-5972",
"fax_number": "510-380-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-17",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.