Patrick Alford Gordon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11178 Issued in FL

Practice address

621 Plainfield Rd
Suite 110
Willowbrook, IL 60527-5343

Phone

(630) 654-1377

Fax

(630) 654-2575

NPI assigned

Jul 24, 2009

Last updated

Oct 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Mental Health Center of Florida PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1679021414
  Medicare reassignment NPD
• Transformative Healthcare Solutions Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1477114031
  NPD
• Lock PC

  dba Orr Psychotherapy Resources

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1992846513
  NPD (past)
• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1679703680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD",
            "address_2": "SUITE 110",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275343",
            "telephone_number": "630-654-1377",
            "fax_number": "630-654-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD",
            "address_2": "SUITE 110",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275343",
            "telephone_number": "630-654-1377",
            "fax_number": "630-654-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PATRICK",
        "middle_name": "ALFORD",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042835A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11178",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagun Gautam, MD
• Vincent Adam Gebala, APRN
• Katherine Gieseke, WHNP
• Golden Age Assisted Living, Inc.
• Alma N Gonzalez, MD
• Poomani Govender, FNP-C
• Gower School District 62
• Hannah Graber, MSW
• Diana Grace
• Marjorie Graves

• Clinical Psychologist in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.