MS. ELLEN B. GORDON (NPI# 1164033254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164033254 |
| Entity Type | Individual |
| Full Name | MS. ELLEN B. GORDON |
| Credential | L.M.H.C. |
| Practice Address |
533 Wagstaff Drive East Meadow NY 11554 |
| Practice Telephone | 5163193649 |
| Mailing Telephone | 5167830242 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
002057-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238725 | Ellen Gordon | Social Worker | 1844 Route 112 Ste A, Coram, NY 11727-2337 | 2019-07-29 |
| 1700369485 | Ellen Mae Gordon | Social Worker | 182 Church St, Newton, MA 02458-1962 | 2018-09-10 |
| 1487719035 | Ellen Elizabeth Gordon | Speech-Language Pathologist | 4350 Warm Springs Rd, Suite 500, Columbus, GA 31909-5464 | 2006-12-26 |
| 1417924572 | Ellen M Gordon | Licensed Practical Nurse | 1523 Wake Ave, Riverside, OH 45431-1235 | 2006-03-07 |
| 1275910168 | Ellen R Gordon | Student in an Organized Health Care Education/Training Program | 3209 Dryden Dr, Madison, WI 53704-3015 | 2015-04-30 |
| 1750712295 | Ellen Gordon | Marriage & Family Therapist | 1151 Dove St Ste 245, Newport Beach, CA 92660-2806 | 2013-12-10 |
| 1477668903 | Ellen M Gordon | Dermatology | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-08-21 |
| 1407844343 | Ellen E I Gordon | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-10-13 |
| Street Address |
533 WAGSTAFF DRIVE |
| City | EAST MEADOW |
| State | NY |
| Zip Code | 11554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140717 | Saad Wasiq | Student in an Organized Health Care Education/Training Program | Psychiatry Department, Nassau University Medicial Centre, East Meadow, NY 11554 | 2019-05-24 |
| 1407410202 | Shiana Sekhri | Student in an Organized Health Care Education/Training Program | Nassau Univ Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2019-04-26 |
| 1427612738 | Shanli Parnia | Student in an Organized Health Care Education/Training Program | Nuhealth/nassau University Medical Center - 2201 Hempst, East Meadow, NY 11554 | 2019-04-23 |
| 1003308842 | Sindhu Barola | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Cente, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-06 |
| 1831681121 | Sehajvir Singh Madhok | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Centr, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-01 |
| 1184115917 | Neeti Prerana Luke | Student in an Organized Health Care Education/Training Program | Nassau University Medical Centre, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-05-29 |
| 1992292155 | Syed Mudassir Hussaini | Student in an Organized Health Care Education/Training Program | Nassau University Medical Center Deparetment of Medicin, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-04-13 |
| 1942726724 | Renju Thomas | Nurse Practitioner | 1901 North Jerusalem Rd, Eastmeadow, NY 11554 | 2017-08-14 |
| 1871013185 | Michelle Kates | Specialist | 1491 Rose Lane, East Meadow, NY 11554 | 2017-06-27 |
| 1154855468 | Awilda Ramos | Early Intervention Provider Agency | 591 Garden Lane, East Meadow, NY 11554 | 2017-04-13 |
| Find all providers in zip 11554 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209930 | Aaiza Kausar | Counselor | 506 Adelphi St, East Meadow, NY 11554-3804 | 2020-09-14 |
| 1356843908 | Marcella Pizzo | Counselor | 2172 Poe Ave, East Meadow, NY 11554-5164 | 2018-02-28 |
| 1487030292 | Sybil Tabuteau Cherisme | Counselor | 446 East Meadow Avenue, Suite 624, East Meadow, NY 11554 | 2015-08-04 |
| 1184949778 | Grief Counseling and Beyond Mental Health Counselor Pllc | Counselor | 1429 Sylvan Ln, East Meadow, NY 11554-4813 | 2010-04-07 |
| 1902006752 | Jumoke O Branco | Counselor | 1791 Bard Ln, East Meadow, NY 11554-1503 | 2007-07-20 |
| 1922217421 | Bruce Alan Klein | Counselor | 2342 8th St, East Meadow, NY 11554-3132 | 2007-05-21 |
| 1508072414 | Joann C Heaney-hunter | Counselor | 600 Newbridge Rd, St. Raphael Parish, East Meadow, NY 11554-5215 | 2007-05-15 |
| 1164565396 | Miriam M. Koo | Counselor | 1731 Prospect Ave, East Meadow, NY 11554-2930 | 2007-02-15 |
| 1053475293 | Randolph Owen Marcus | Counselor | 749 Durham Rd, East Meadow, NY 11554-4604 | 2006-12-21 |
| 1740204544 | Michael Johm Simon | Counselor | 1473 Rose Ln, East Meadow, NY 11554-3618 | 2006-07-26 |
| Find all providers in EAST MEADOW | ||||
| City | EAST MEADOW |
| Zip Code | 11554 |
Please comment or provide details below to improve the information on MS. ELLEN B. GORDON.
| 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.