Gail Susan Gordon, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48622 Issued in CA

Practice address

1532 Solano Ave.
Albany, CA 94707-9470

Phone

(510) 691-8123

NPI assigned

Apr 24, 2007

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

Other identifiers 1

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 Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1689893497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 SAN PABLO AVE SPC 336",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061325",
            "telephone_number": "510-691-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 SOLANO AVE.",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947079470",
            "telephone_number": "510-691-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "GAIL",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SERVICES",
            "identifier": "48622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Goldbart, PH.D.
• Liebe Deborah Goldberg
• Peter L Goldberg, PH.D.
• Teresa Ann Goldberg, O.D.
• Donald Goldmacher, M.D.
• Janet Fern Gorewitz, PH.D.
• Jamal Lawrence Granick, MFT
• Michael A Gray, PH.D.
• David Green
• Phyllis Greene, MFT, LCSW

• Marriage & Family Therapist in Albany, CA
• Providers in Albany, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.