Active NPIIndividual providerSole proprietor

Dr. William M Gordon, PHD

Psychologist in Upper Montclair, New Jersey

NPI Number1528080991
Practice location
224 Lorraine Ave, Upper Montclair, NJ 07043-1915
Fax
—
Last updated
July 8, 2007

William Michael Gordon is a Psychologist based in Upper Montclair, NJ. William Michael Gordon practices in Upper Montclair, NJ and has the professional credentials of PHD. The NPI Number for William Michael Gordon is 1528080991 and holds a License No. 35S100122800 (NJ). The current practice location address for William Michael Gordon is 224 Lorraine Ave, Upper Montclair, NJ 07043-1915 and can be reached out via phone at 973-744-8791.

Provider Profile Details

NPI Number
1528080991
Provider Name
William Michael Gordon
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
224 Lorraine Ave, Upper Montclair, NJ 07043-1915
Phone Number
973-744-8791
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
224 Lorraine Ave
Upper Montclair, NJ 07043-1915
Zip
07043-1915
Phone Number
973-744-8791
Upper Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
224 Lorraine Ave
Upper Montclair, NJ 07043-1915
City
Upper Montclair
State
NJ
Zip
07043-1915

License Information

License Number
35S100122800
License State
NJ
Taxonomy
Psychologist · 103T00000X · 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. William M Gordon, PHD?

The NPI number of Dr. William M Gordon, PHD is 1528080991. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. William M Gordon, PHD?

Dr. William M Gordon, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35S100122800.

Where does Dr. William M Gordon, PHD practice?

The practice location is 224 Lorraine Ave, Upper Montclair, NJ 07043-1915. The office can be reached at 973-744-8791 (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 1528080991 directly on the NPPES registry website.

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