DR. KAYLA RUTH GORDON (NPI# 1124643432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124643432 |
| Entity Type | Individual |
| Full Name | DR. KAYLA RUTH GORDON |
| Credential | PHD, BCBA, LABA |
| Practice Address |
41 Pacella Park Dr Randolph MA 02368-1755 |
| Mailing Address |
2 Avalon Dr Unit 2314 Quincy MA 02169-2472 |
| Practice Telephone | 4133863592 |
| Mailing Telephone | 4133863592 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 11202-PY-PR | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686379 | Kayla Gordon | Speech-Language Pathologist | 8501 Turnpike Dr Unit 100, Westminster, CO 80031-7042 | 2019-12-19 |
| 1912482555 | Kayla Gordon | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2018-09-29 |
| Street Address |
41 PACELLA PARK DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318125 | The May Institute, Inc | Psychologist | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2006-03-01 |
| 1952900227 | Manyun Xie | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-10-19 |
| 1558978718 | John H Williams | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-30 |
| 1487269593 | Phillip A Burke | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-09-15 |
| 1326650797 | Nakayla C Raymond | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1508478967 | Cynthia L Riley | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-18 |
| 1649881954 | Johanna Dowdy | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-08-11 |
| 1013531540 | Sacha Shaw | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-06-01 |
| 1154959542 | Jon Roland | Behavioral Analyst | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-03-31 |
| 1528691409 | Robermann Dorceus | Counselor | 41 Pacella Park Dr, Randolph, MA 02368-1755 | 2020-02-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134788128 | Bhavna Lal | Psychologist | 490 N Main St Ste 2, Randolph, MA 02368-3741 | 2019-06-12 |
| 1548716210 | Tracy Paskiewicz | Psychologist | 44 Diauto Dr # 42, Randolph, MA 02368-4536 | 2016-08-31 |
| 1336571728 | Melissa Sapio | Psychologist | 20 Drake Ct, Randolph, NJ 07869-4851 | 2013-08-07 |
| 1124314125 | Jessica M. Donnelly | Psychologist | 2 Summer St, Suite 3, Randolph, VT 05060-1173 | 2011-06-28 |
| 1912126269 | Paul Harris Yampolsky | Psychologist | 1247 Sussex Tpke Ste 100, Randolph, NJ 07869-2943 | 2007-04-25 |
| 1982786877 | Ilana Lev-el | Psychologist | 20 Oak Dr, Randolph, NJ 07869-4809 | 2006-10-19 |
| 1346337243 | Susan S. Neigher | Psychologist | 1201 Sussex Tpke, Suite 104c, Randolph, NJ 07869-2974 | 2006-10-10 |
| 1437165859 | Sylvia Fask | Psychologist | 10 Ash Ln, Randolph, NJ 07869-4757 | 2006-07-31 |
| 1558399543 | Gina E. Rayfield, Ph.d., PC | Psychologist | 24 E Logan Rd, Randolph, NJ 07869-2622 | 2006-06-29 |
| 1821585647 | Lourdemir Aime | Psychologist | 44 Diauto Dr, Randolph, MA 02368-4536 | 2018-04-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.