Marie K Cheour Gordon, PHD, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 9641 Issued in FL

Practice address

8105 NW 111TH Ter
Parkland, FL 33076-4730

Phone

(561) 345-9931

NPI assigned

Sep 3, 2016

Last updated

Apr 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Marie Cheour Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1801343165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 NW 111TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764730",
            "telephone_number": "561-345-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 NW 111TH TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330764730",
            "telephone_number": "561-345-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEOUR GORDON",
        "first_name": "MARIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-03",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9641",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY 9641",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 9641",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY 9641",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY 9641",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "PY 9641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019810000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CHEOUR",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Cadet, MD
• Maria Caruso
• Stephanie Migdalia Carvajal, LCSW
• Shafqat Mahmood Cheema, MD
• Philip Chen, RPH
• Bruce J Cherlow, DC
• Cheryls Virtual Care
• Lissette Ciabattoni, LCSW
• Gail Roberta Cimbal, CCC-SLP
• Cindy Pollack, Otr, PA

• Psychologist in Parkland, FL
• Providers in Parkland, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.