MISS KIMBERLY ANNE GORDON (NPI# 1184999880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184999880 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY ANNE GORDON |
| Other Name | KIMBERLY GORDON |
| Credential | MA |
| Practice Address |
60 Merrimack St Haverhill MA 01830-6207 |
| Practice Telephone | 9783731126 |
| Practice Fax Number | 9785217783 |
| Mailing Telephone | 9783731126 |
| Mailing Fax Number | 9785217783 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1154302586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1245407709 | Kimberly Rochelle Gordon | Specialist/Technologist, Other | 3002 Gill St Ste 3, Bloomington, IL 61704-3438 | 2008-05-14 |
| 1679131676 | Kimberly E Gordon | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-04 |
| 1649767989 | Kimberly Gordon | Behavior Technician | 8019 Ne 13th Ave, Vancouver, WA 98665-9604 | 2018-04-20 |
| 1396266904 | Kimberly T Gordon | Counselor | 810 Classon Ave, Brooklyn, NY 11238-6102 | 2017-07-05 |
| 1427590926 | Kimberly Gordon | Nurse Practitioner | 4225 Woods Pl Bldg 2, Abilene, TX 79602-7991 | 2016-11-15 |
| 1073974721 | Kimberly Marie Gordon | Licensed Practical Nurse | 7 Seafield Ln, Westhampton Beach, NY 11978-2714 | 2016-03-09 |
| 1134500473 | Kimberly Allison Gordon | Pharmacist | 1550 Gateway Blvd, Fairfield, CA 94533-6901 | 2015-06-12 |
| 1316338221 | Kimberly Gordon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975 | 2015-02-13 |
| 1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
| Street Address |
60 MERRIMACK ST |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073548566 | Susan Anora Farid | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2006-07-12 |
| 1871966689 | Shannon Tambur | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2015-11-03 |
| 1790178101 | Kelly Perry | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2015-03-09 |
| 1023416450 | Kerry Woodilla | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-12-17 |
| 1942603071 | Erika Avery | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-10-03 |
| 1912312562 | Ashley Serpa | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-06-23 |
| 1942613617 | Marion Mello | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-06-10 |
| 1679985600 | Tanya Lynne Farrar | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-05-26 |
| 1023420353 | Ryan Paradise | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-05-21 |
| 1356751275 | Meghan Van Vliet | Social Worker | 60 Merrimack St, Haverhill, MA 01830-6207 | 2014-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1225390362 | Larry Medolo | Homeopath | 606 Broadway Ave, Haverhill, MA 01830 | 2012-06-14 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488261 | Contemporary Counseling and Wellness | Counselor | 68 I St, Haverhill, MA 01835-8348 | 2020-08-17 |
| 1568081768 | Timothy Stuart Little | Counselor | 200 Main St Ste F, Haverhill, MA 01830-5032 | 2020-04-09 |
| 1417591033 | Caroline Loughlin | Counselor | 57 Wingate St Fl 4, Haverhill, MA 01832-5759 | 2019-11-06 |
| 1952959454 | Teresa Louise Heard-ralbovsky | Counselor | 29 Parkridge Road, Suite 2b, Haverhill, MA 01835 | 2019-08-28 |
| 1962057547 | Hannah Marie Matsubara | Counselor | 366 Farrwood Dr, Haverhill, MA 01835-8400 | 2019-08-09 |
| 1629545181 | Sheri Lynn Flaherty | Counselor | 100 Lafayette Sq, Haverhill, MA 01832-4741 | 2018-11-01 |
| 1376035055 | Stephnaie Vasquez | Counselor | 15 Acorn St, Haverhill, MA 01832-3001 | 2018-05-30 |
| 1699123828 | Nova Initia Counseling, LLC | Counselor | 143 Essex St Ste 202, Haverhill, MA 01832-5553 | 2016-05-27 |
| 1568824969 | Rebecca Bibeau Lmhc | Counselor | 925 N Broadway, Haverhill, MA 01832-1137 | 2016-03-24 |
| 1164896015 | Amy Burkland | Counselor | 230 Liberty St, Haverhill, MA 01832-1034 | 2015-11-16 |
| Find all providers in HAVERHILL | ||||
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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.