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

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NPI Details

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 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
1103G00000XClinical Neuropsychologist2572MASSACHUSETTSYes
2103TC0700XPsychologistClinical2572MASSACHUSETTSNo

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
1719788OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2W02873OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
3W02873MEDICARE PINMASSACHUSETTS
4109343OTHERMASSACHUSETTSMAGELLAN BEHAVIORAL HEALT
50520896MEDICAIDMASSACHUSETTS

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: 11/21/2025

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