Active NPI
Robert M. Gordon, PH.D., Abpp, PC
- Psychoanalysis Psychologist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- PS002387L
- Legal business name
- ROBERT M. GORDON, PH.D., ABPP, PC
- Practice address
- 1259 S Cedar Crest Blvd
Suite 325
Allentown, PA 18103-6372 - Phone
- (610) 417-0501
- NPI assigned
- Mar 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert M Gordon, PH.D.
- Title
- Psychologist
- Phone
- (610) 417-0501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | PS002387L | PA | |
| Psychologist | 103T00000X | PS002387L | PA | |
| Clinical Psychologist | 103TC0700X | PS002387L | PA | |
| Counseling Psychologist | 103TC1900X | PS002387L | PA | |
| Family Psychologist | 103TF0000X | PS002387L | PA | |
| Forensic Psychologist | 103TF0200X | PS002387L | PA | |
| Psychoanalysis Psychologist | 103TP0814X | PS002387L | PA | Primary |
| Group Psychotherapy Psychologist | 103TP2701X | PS002387L | PA | |
| Marriage & Family Therapist | 106H00000X | PS002387L | PA |
Addresses
Primary practice location
1259 S Cedar Crest Blvd
Suite 325
Allentown, PA 18103-6372
Mailing address
1259 S Cedar Crest Blvd
Suite 325
Allentown, PA 18103-6372
Phone (610) 417-0501
National Provider Directory
National Provider DirectoryLocations
1259 S Cedar Crest Blvd
Ste 325
Allentown, PA 18103
Phone (484) 809-0529
Practitioners & affiliated clinicians
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.
-
- Clinical Psychologist
- Allentown, PA
- NPI 1225033384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416182400000",
"number": "1750523486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 S CEDAR CREST BLVD",
"address_2": "SUITE 325",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036372",
"telephone_number": "610-417-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 S CEDAR CREST BLVD",
"address_2": "SUITE 325",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036372",
"telephone_number": "610-417-0501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT M. GORDON, PH.D., ABPP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-26",
"last_updated": "2014-11-17",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "610-417-0501",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "PA",
"license": "PS002387L",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PA",
"license": "PS002387L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS002387L",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS002387L",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "PA",
"license": "PS002387L",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "PA",
"license": "PS002387L",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Psychoanalysis",
"state": "PA",
"license": "PS002387L",
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": "PA",
"license": "PS002387L",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "PS002387L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.