Nalda Zipporah Gordon, PSY.D., DR.P.H.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

KY-1328 Issued in KY

Practice address

4800 Memorial Dr
Waco, TX 76711-1329

Phone

(254) 297-3751

NPI assigned

Oct 3, 2006

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Kentucky Mental Health Mental Retardation Regional Board

  dba NorthKey Community Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, KY
  • NPI 1578527610
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891889739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 CHEROKEE LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128597",
            "telephone_number": "254-732-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEMORIAL DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111329",
            "telephone_number": "254-297-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NALDA",
        "middle_name": "ZIPPORAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D., DR.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-1328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn F Goodman, DC
• Jon Marc Goodnight, M.D.
• Joshua Gordon, DPT
• Joshua John Gordon, CRNA
• Marian Rose Gordon
• Noah Otto Gordon
• Nilesh J Goswami, M.D.
• Vibha Goyal, MSN, APN
• GP Medical Services, LLC
• Suzan Grabow, CCC-A

• Mental Health Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.