Individual provider Active NPI

Denise Gordon, PSY.D., M.F.T.

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1811326358
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT22922 Issued in CA
Practice address
462 N. Linden Drive
Suite 246
Beverly Hills, CA 90212-2203
Phone
(310) 858-8661
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT22922 CA Primary

Addresses

Primary practice location

462 N. Linden Drive
Suite 246
Beverly Hills, CA 90212-2203

Mailing address

462 N. Linden Drive
Suite 246
Beverly Hills, CA 90212-2203
Phone (310) 858-8661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 1, 2025 through Sep 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT22922CAMDMarriage & Family Therapist
22922CAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1811326358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 N. LINDEN DRIVE",
            "address_2": "SUITE 246",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122203",
            "telephone_number": "310-858-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 N. LINDEN DRIVE",
            "address_2": "SUITE 246",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122203",
            "telephone_number": "310-858-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT22922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.