Active NPI
Amy Gordon McGlynn, PH.D.
- Clinical Neuropsychologist
- Oakton, VA
National Provider Identifier
1902048283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810002742
- Practice address
- 3027 Miller Heights Rd
Oakton, VA 22124-1824 - Phone
- (503) 739-2654
- NPI assigned
- Apr 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0810002742 | VA | Primary |
Addresses
Primary practice location
3027 Miller Heights Rd
Oakton, VA 22124-1824
Mailing address
3027 Miller Heights Rd
Oakton, VA 22124-1824
Phone (503) 739-2654
Other names 1
- Amy Gordon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Previously, effective Sep 16, 2014 through Sep 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002742 | VA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1902048283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 MILLER HEIGHTS RD",
"city": "OAKTON",
"state": "VA",
"postal_code": "221241824",
"telephone_number": "503-739-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 MILLER HEIGHTS RD",
"city": "OAKTON",
"state": "VA",
"postal_code": "221241824",
"telephone_number": "503-739-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLYNN",
"first_name": "AMY",
"middle_name": "GORDON",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810002742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "GORDON",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oakton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.