DR. ALAN HOWARD GORDON EDD NPI 1689760654

NPI Information

NPI: 1689760654
Provider Name: DR. ALAN HOWARD GORDON, EDD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
45 WALPOLE ST
STE 6
NORWOOD, MA
ZIP 02062
Phone: (781) 769-1646
Get Directions

DR. Alan Howard Gordon, EDD is a clinical neuropsychologist in Norwood, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Alan Howard Gordon, EDD NPI is 1689760654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

45 WALPOLE ST
STE 6
NORWOOD, MA
ZIP 02062-319
Phone: (781) 769-1646
Fax: (781) 769-4696

The NPI 1689760654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/5/2006 and was last updated on 11/29/2017.

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	103G00000X	Clinical Neuropsychologist		2572	MASSACHUSETTS	Yes
2	103TC0700X	Psychologist	Clinical	2572	MASSACHUSETTS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	719788	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
2	W02873	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
3	W02873	MEDICARE PIN	MASSACHUSETTS
4	109343	OTHER	MASSACHUSETTS	MAGELLAN BEHAVIORAL HEALT
5	0520896	MEDICAID	MASSACHUSETTS

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: 4/28/2024

NPI Synchronization or Removal

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