Active NPI
Eve Gordon, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1710128913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017018
- Practice address
- 15 W 28TH St # 6F
New York, NY 10001-6410 - Phone
- (914) 356-1313
- NPI assigned
- Mar 18, 2009
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017018 | NY | Primary |
Addresses
Primary practice location
15 W 28TH St # 6F
New York, NY 10001-6410
Mailing address
30 Minturn St
Hastings on Hudson, NY 10706-1125
Phone (914) 356-1313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017018 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1710128913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MINTURN ST",
"city": "HASTINGS ON HUDSON",
"state": "NY",
"postal_code": "107061125",
"telephone_number": "914-356-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W 28TH ST # 6F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016410",
"telephone_number": "914-356-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "EVE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.