Mallorie Laura Gordon Felsenfeld, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0000003640 Issued in TN

Practice address

10 Center Dr RM 1C244
Bethesda, MD 20892-0004

Phone

(240) 760-6538

NPI assigned

Nov 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mallorie Laura Gordon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1912664939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 OLD GEORGETOWN RD APT 914",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208522858",
            "telephone_number": "917-882-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR RM 1C244",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920004",
            "telephone_number": "240-760-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON FELSENFELD",
        "first_name": "MALLORIE",
        "middle_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "0000003640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORIE",
            "last_name": "GORDON",
            "middle_name": "LAURA",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cassandra Lyn Goodyear, PSY.D
• Mary Elizabeth Goolsby, M.D.
• Antoinette Goosby, CRNP-PMH
• Joel Lee Goozh, MD
• Nikhil Gopal
• Emily Gordon, MD
• James Gordon, DDS
• Jesse Gordon, LMT
• Richard Nelson Gordon, LCPS
• Sara Gordon, LMSW

• Clinical Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.