Organization Active NPI

Robert M. Gordon, PH.D., Abpp, PC

  • Psychoanalysis Psychologist
  • Allentown, PA
National Provider Identifier
1750523486
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
PS002387L Issued in PA
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

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Robert M Gordon, PH.D.NPI 1225033384
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)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X PS002387L PA
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PS002387L PA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS002387L PA
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PS002387L PA
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X PS002387L PA
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X PS002387L PA
Psychoanalysis PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP0814X PS002387L PA Primary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X PS002387L PA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.