Mendel Michael Gordin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00028756 Issued in WA

Practice address

1116 Key St
Suite 211
Bellingham, WA 98225-5232

Phone

(360) 647-6173

Fax

(360) 647-6729

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1841283793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N COMMERCIAL ST",
            "address_2": "SUITE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254446",
            "telephone_number": "360-647-6173",
            "fax_number": "866-630-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 KEY ST",
            "address_2": "SUITE 211",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255232",
            "telephone_number": "360-647-6173",
            "fax_number": "360-647-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIN",
        "first_name": "MENDEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00028756",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00028756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenessa Elizabeth Goodman, MA, LMFT
• Taylor Goodman, LMT
• Lucas Goodwin, PHD
• Sheila D Goodwin, LCSW
• Patricia Ruth Gora, LMHC, CMHS
• Bridget Margaret Gordon, LICSW
• Carlan Gordon, PSYD
• Eleanor C Gordon
• Madeline Gordon
• Silas Kenny Gordon, LPN, AAC

• Psychiatry Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.