Dr. Jessica S Gordon, PSYD, BCBA
Psychologist in Waldwick, New Jersey
1700174067- Practice location
- 155 Summit Ave, Waldwick, NJ 07463-2133
- Phone
- 516-314-1432
- Fax
- —
- Last updated
- April 23, 2025
Jessica Sara Gordon is a Psychologist based in Waldwick, NJ. Jessica Sara Gordon practices in Waldwick, NJ and has the professional credentials of PSYD, BCBA. The NPI Number for Jessica Sara Gordon is 1700174067 and holds a License No. 35SI00534500 (NJ). The current practice location address for Jessica Sara Gordon is 155 Summit Ave, Waldwick, NJ 07463-2133 and can be reached out via phone at 516-314-1432.
Provider Profile Details
- NPI Number
- 1700174067
- Provider Name
- Jessica Sara Gordon
- Credential
- PSYD, BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 155 Summit Ave, Waldwick, NJ 07463-2133
- Phone Number
- 516-314-1432
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 20, 2011
- Last Update Date
- April 23, 2025
- Certification Date
- April 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 155 Summit Ave
Waldwick, NJ 07463-2133 - City
- Waldwick
- State
- New Jersey
- Zip
- 07463-2133
- Phone Number
- 516-314-1432
Provider Business Mailing Address Details
- Address
- 540 Long Dr
Wyckoff, NJ 07481-1713 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-1713
- Phone Number
- 516-314-1432
License Information
- License Number
- 35SI00534500
- License State
- NJ
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Jessica S Gordon, PSYD, BCBA?
The NPI number of Dr. Jessica S Gordon, PSYD, BCBA is 1700174067. It was assigned on July 20, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Jessica S Gordon, PSYD, BCBA?
Dr. Jessica S Gordon, PSYD, BCBA is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00534500.
Where does Dr. Jessica S Gordon, PSYD, BCBA practice?
The practice location is 155 Summit Ave, Waldwick, NJ 07463-2133. The office can be reached at 516-314-1432 (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 1700174067 directly on the NPPES registry website.