Robert Gordon, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

300015 Issued in MO

Legal business name

ROBERT GORDON, LLC

Practice address

1023 Executive Parkway Dr
Suite 5
Saint Louis, MO 63141-6323

Phone

(636) 579-2983

NPI assigned

Feb 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Gordon, PHD

Title

Family/Marriage Therapist

Phone

(636) 368-6637

Specialties & licenses 1

Addresses

Other names 1

• Dr. Robert Gordon Other name

Locations

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1699133710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 5",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416323",
            "telephone_number": "636-579-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 5",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416323",
            "telephone_number": "636-579-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT GORDON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FAMILY/MARRIAGE THERAPIST",
        "authorized_official_telephone_number": "636-368-6637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "300015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Robert Gordon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Anastasia L Roberts, PHARM.D.

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.