DR. KENNETH STEVEN GORDON (NPI# 1225529043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225529043 |
| Entity Type | Individual |
| Full Name | DR. KENNETH STEVEN GORDON |
| Credential | PHD |
| Practice Address |
755 Lakefield Rd Ste J Westlake Village CA 91361-2639 |
| Mailing Address |
2650 Buggy Ln Santa Rosa Valley CA 93012-9209 |
| Practice Telephone | 8054912478 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 4749-PY-PY | MA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 1525 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796456 | Kenneth Gordon | Pharmacist | 5261 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2015-12-11 |
| 1497752208 | Kenneth Bryce Gordon | Optometrist | 4811 S Laburnum Ave, Richmond, VA 23231-2713 | 2005-07-07 |
| 1548301021 | Kenneth Lawrence Gordon | Psychiatry & Neurology | 75 Chestnut St., Oneonta, NY 13820 | 2007-02-09 |
| 1790865806 | Kenneth B. Gordon | Dermatology | 9200 W Wisconsin Ave, Department of Dermatology, Milwaukee, WI 53226-3522 | 2006-10-16 |
| 1104837657 | Kenneth L. Gordon | Ophthalmology | 2080 Century Park East, #800, Los Angeles, CA 90067-2011 | 2006-08-10 |
| 1871549204 | Kenneth D Gordon | Internal Medicine | 1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4100 | 2006-05-26 |
| Street Address |
755 LAKEFIELD RD STE J |
| City | WESTLAKE VILLAGE |
| State | CA |
| Zip Code | 91361-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| 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 |
|---|---|---|---|---|
| 1356805469 | Cassandra Lemons Bowles | Psychologist | 31200 Via Colinas Ste 100, Westlake Village, CA 91362-3950 | 2019-01-23 |
| 1952888943 | Richard Riemer | Psychologist | 3625 E Thousand Oaks Blvd Ste 175, Westlake Village, CA 91362-3563 | 2018-07-23 |
| 1104254770 | Suzanne Mary Corwin | Psychologist | 31666 Foxfield Dr, Westlake Village, CA 91361-4714 | 2013-10-17 |
| 1639438047 | Alison Maria Magoun Moreno | Psychologist | 30961 Agoura Rd Ste 217, Westlake Village, CA 91361-5619 | 2012-05-07 |
| 1992075386 | Danielle Selvin Harris | Psychologist | 3625 E Thousand Oaks Blvd Ste 209, Westlake Village, CA 91362-3566 | 2012-01-03 |
| 1982830188 | Kris Sourbeer | Psychologist | 2239 Townsgate Rd # 217, Westlake Village, CA 91361-2405 | 2009-06-03 |
| 1164614285 | Olivia Manopelli Moura-thakkar | Psychologist | 3304 Blue Ridge Ct, Westlake Village, CA 91362-3521 | 2007-08-13 |
| 1306041058 | Thomas F Locke | Psychologist | 3625 E Thousand Oaks Blvd Ste 109, Westlake Village, CA 91362-3551 | 2007-06-20 |
| 1265552335 | Michele Harway | Psychologist | 4165 E Thousand Oaks Blvd Ste 345, Westlake Village, CA 91362-7224 | 2007-03-30 |
| 1831234830 | Mary Resnick | Psychologist | 4333 Park Terrace Dr, 150, Westlake Village, CA 91361-4642 | 2007-02-20 |
| Find all providers in WESTLAKE VILLAGE | ||||
| City | WESTLAKE VILLAGE |
| Zip Code | 91361 |
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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.