Ellen Gordon, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51582 Issued in CA

Practice address

1151 Dove St Ste 245
Newport Beach, CA 92660-2806

Phone

(949) 933-1701

Fax

(949) 515-7708

NPI assigned

Dec 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1750712295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 245",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 245",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602806",
            "telephone_number": "949-933-1701",
            "fax_number": "949-515-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ELLEN",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Goodman, M.D.
• Travis Goodman, M.S., LMFT
• Jake Gooing, DO
• Basil Gordon, D.D.S.
• Danielle Gordon, PT, DPT
• Laura Gordon
• Goretti Ho Taghva M D Inc
• Sean Gorgie, BCBA
• Laura Christine Gorham, P.T.
• Goshe Physical Therapy, Inc.

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.