NPIMap

Organization Active NPI

Spectrum Life Enhancement Associates, P.C.

  • Clinical Psychologist
  • New Braunfels, TX
National Provider Identifier
1831427392
Registry record updated Nov 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25431 Issued in TX
Legal business name
SPECTRUM LIFE ENHANCEMENT ASSOCIATES, P.C.
Practice address
453 N Business 35
#421
New Braunfels, TX 78130-7811
Phone
(512) 496-5947
Fax
(830) 626-6207
NPI assigned
Nov 21, 2009
Last updated
Nov 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2009

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

Authorized official

Name
Dr. Sheryle Diane Gordon, PH.D.NPI 1306937040
Title
Director
Phone
(512) 496-5947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 25431 TX Primary

Addresses

Primary practice location

453 N Business 35
#421
New Braunfels, TX 78130-7811

Mailing address

453 N Business 35
#421
New Braunfels, TX 78130-7811
Phone (512) 496-5947

Other names 1

  • Sheryle Gordon Ph.D. & Associates, P.C. Former legal business name

National Provider Directory

National Provider Directory

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": "1258761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258761600000",
    "number": "1831427392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 N BUSINESS 35",
            "address_2": "#421",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307811",
            "telephone_number": "512-496-5947",
            "fax_number": "830-626-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 N BUSINESS 35",
            "address_2": "#421",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307811",
            "telephone_number": "512-496-5947",
            "fax_number": "830-626-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM LIFE ENHANCEMENT ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-21",
        "last_updated": "2009-11-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SHERYLE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-496-5947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "25431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheryle Gordon Ph.D. & Associates, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2009; 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.