DR. VANESSA GOURDINE PSYD NPI 1205936093

NPI Information

NPI: 1205936093
Provider Name: DR. VANESSA GOURDINE, PSYD
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
83 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 488-6678
Get Directions

DR. Vanessa Gourdine, PSYD is a psychiatric/mental health nurse practitioner in Hackensack, NJ. DR. Vanessa Gourdine, PSYD NPI is 1205936093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

83 SUMMIT AVE
HACKENSACK, NJ
ZIP 07601-262
Phone: (201) 488-6678
Fax: (201) 342-4346

The enumeration date for this NPI number is 9/22/2006 and was last updated on 11/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	35SI00263500	NEW JERSEY	No
2	103TC0700X	Psychologist	Clinical	35SI00263500	NEW JERSEY	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	35SI00263500	NEW JERSEY	No
4	103TH0100X	Psychologist	Health Service	35SI00263500	NEW JERSEY	No
5	103T00000X	Psychologist		35SI00263500	NEW JERSEY	No
6	363LP2300X	Nurse Practitioner	Primary Care	26NJ00080100	NEW JERSEY	No
7	363LF0000X	Nurse Practitioner	Family	26NJ00080100	NEW JERSEY	No
8	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	26NJ00080100	NEW JERSEY	No
9	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	26NJ00080100	NEW JERSEY	No
10	363LW0102X	Nurse Practitioner	Women's Health	26NJ00080100	NEW JERSEY	No
11	102L00000X	Psychoanalyst		35SIO00563500	NEW JERSEY	No
12	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00080100	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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