Madeleine Gordon, Psy.d., LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Jamaica Plain, Massachusetts
1649881533- Practice location
- 8 Stedman St, Jamaica Plain, MA 02130-3618
- Phone
- 617-915-3052
- Fax
- 617-675-9566
- Last updated
- May 10, 2021
Madeleine Gordon, Psy.d., LLC is a healthcare organization based in Jamaica Plain, MA. Madeleine Gordon, Psy.d., LLC practices in Jamaica Plain, MA. The NPI Number for Madeleine Gordon, Psy.d., LLC is 1649881533. The current practice location address for Madeleine Gordon, Psy.d., LLC is 8 Stedman St, Jamaica Plain, MA 02130-3618 and can be reached out via phone at 617-915-3052 and via fax at 617-675-9566.
Provider Profile Details
- NPI Number
- 1649881533
- Provider Name
- Madeleine Gordon, Psy.d., LLC
- Provider Entity Type
- Organization
- Address
- 8 Stedman St, Jamaica Plain, MA 02130-3618
- Phone Number
- 617-915-3052
- Fax Number
- 617-675-9566
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Dr. Madeleine Bernice Gordon, PSYD · Clinical Psychologist/Owner · 617-915-3052
- Other Names
- Madeleine Gordon PSYD (Doing Business As)
- Provider Enumeration Date
- August 13, 2020
- Last Update Date
- May 10, 2021
- Certification Date
- May 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8 Stedman St
Jamaica Plain, MA 02130-3618 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-3618
- Phone Number
- 617-915-3052
- Fax Number
- 617-675-9566
Provider Business Mailing Address Details
- Address
- 8 Stedman St
Jamaica Plain, MA 02130-3618 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-3618
- Phone Number
- 617-915-3052
- Fax Number
- 617-675-9566
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (3)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers near Jamaica Plain, MA
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Frequently Asked Questions
What is the NPI number of Madeleine Gordon, Psy.d., LLC?
The NPI number of Madeleine Gordon, Psy.d., LLC is 1649881533. It was assigned on August 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Madeleine Gordon, Psy.d., LLC?
Madeleine Gordon, Psy.d., LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Madeleine Gordon, Psy.d., LLC practice?
The practice location is 8 Stedman St, Jamaica Plain, MA 02130-3618. The office can be reached at 617-915-3052 (phone) or 617-675-9566 (fax).
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 1649881533 directly on the NPPES registry website.