Active NPIIndividual providerSole proprietor

Dr. Bonnie Gordic, PSYD, MPP

Psychologist, Clinical in Highland Park, New Jersey

NPI Number1356827984
Practice location
24 N 3RD Ave Ste 111C, Highland Park, NJ 08904-2429
Fax
—
Last updated
July 21, 2020

Bonnie Gordic is a Psychologist, Clinical based in Highland Park, NJ. Bonnie Gordic practices in Highland Park, NJ and has the professional credentials of PSYD, MPP. The NPI Number for Bonnie Gordic is 1356827984 and holds a License No. 35SI00585800 (NJ). The current practice location address for Bonnie Gordic is 24 N 3RD Ave Ste 111C, Highland Park, NJ 08904-2429 and can be reached out via phone at 732-595-2953.

Provider Profile Details

NPI Number
1356827984
Provider Name
Bonnie Gordic
Credential
PSYD, MPP
Provider Entity Type
Individual
Gender
Female
Address
24 N 3RD Ave Ste 111C, Highland Park, NJ 08904-2429
Phone Number
732-595-2953
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2018
Last Update Date
July 21, 2020
Certification Date
July 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 N 3RD Ave Ste 111C
Highland Park, NJ 08904-2429
Zip
08904-2429
Phone Number
732-595-2953
Highland Park, NJ 08904Get directions →

Provider Business Mailing Address Details

Address
24 N 3RD Ave Ste 111C
Highland Park, NJ 08904-2429
City
Highland Park
State
NJ
Zip
08904-2429
Phone Number
732-595-2953

License Information

License Number
35SI00585800
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Bonnie Gordic, PSYD, MPP?

The NPI number of Dr. Bonnie Gordic, PSYD, MPP is 1356827984. It was assigned on July 17, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Bonnie Gordic, PSYD, MPP?

Dr. Bonnie Gordic, PSYD, MPP is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00585800.

Where does Dr. Bonnie Gordic, PSYD, MPP practice?

The practice location is 24 N 3RD Ave Ste 111C, Highland Park, NJ 08904-2429. The office can be reached at 732-595-2953 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356827984 directly on the NPPES registry website.

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