Jamie Gordon-Karp PSYD LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JAMIE GORDON-KARP PSYD LLC

Practice address

103 Carnegie Ctr Ste 300
Princeton, NJ 08540-6235

Phone

(215) 964-2433

NPI assigned

Oct 29, 2018

Last updated

Dec 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamie Robin Gordon-Karp, PSY.D.NPI 1790891489

Title

Clinical Psychologist

Phone

(215) 964-2433

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Robin Gordon-Karp, PSY.D.

  • Psychologist
  • Princeton JCT, NJ
  • NPI 1790891489
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1700353695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DORCHESTER LANE",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "18940",
            "telephone_number": "215-964-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARNEGIE CTR STE 300",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406235",
            "telephone_number": "215-964-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE GORDON-KARP PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "GORDON-KARP",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-964-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790891489",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.