MS. SHALANDA NICHELLE GORDON (NPI# 1649500463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649500463 |
| Entity Type | Individual |
| Full Name | MS. SHALANDA NICHELLE GORDON |
| Credential | PH.D. |
| Practice Address |
8632 Fredericksburg Road Suite 218 San Antonio TX 78240 |
| Practice Telephone | 2102020606 |
| Practice Fax Number | 8448954585 |
| Mailing Telephone | 2102020606 |
| Mailing Fax Number | 8448954585 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2014-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 34687 | TX | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 34687 | TX | Behavioral Health & Social Service Providers |
| Street Address |
8632 FREDERICKSBURG ROAD SUITE 218 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639381361 | Shelley Danielle Taylor | Specialist | 8632 Fredericksburg Road, #212, San Antonio, TX 78240 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1457919714 | Mbg Management Group LLC | Hospice Care, Community Based | 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 | 2019-06-03 |
| 1386117901 | Kevin M Miles | Counselor | 4820 Gus Eckert, #510, San Antonio, TX 78240 | 2019-01-07 |
| 1578046926 | Hubert Velasco | Physical Therapist | 5000 Fawn Meadow Lane, San Antonio, TX 78240 | 2018-09-12 |
| 1740767540 | Sunshine Pharmacy LLC | Pharmacy | 8840 Huebner Rd, San Antonio, TX 78240 | 2018-07-24 |
| 1982193132 | Fitch Surgical Assisting Group, LLC | Specialist/Technologist, Other | 6163 John Chapman, San Antonio, TX 78240 | 2018-05-03 |
| 1295243202 | Janice Marie Hennon | Nurse Practitioner | 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 | 2018-01-12 |
| 1891213195 | Celina Paras | Dietitian, Registered | 6234 W. Jolie Ct., San Antonio, TX 78240 | 2017-09-07 |
| 1245757616 | Claudia G Valdez | Occupational Therapy Assistant | 9306 Maverick Pass, San Antonio, TX 78240 | 2017-08-27 |
| Find all providers in zip 78240 | ||||
| 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 |
|---|---|---|---|---|
| 1548896947 | Jessica Graber | Psychologist | 600 N Loop 1604 E, San Antonio, TX 78232-1268 | 2020-03-17 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1275099509 | South Texas Behavioral Group, LLC | Psychologist | 403 S Ww White Rd Ste 218, San Antonio, TX 78219-4249 | 2019-02-12 |
| 1629550298 | Rebecca Stuth Specia | Psychologist | 3031 Knight Robin Dr, San Antonio, TX 78209-3510 | 2018-08-30 |
| 1689179731 | Erica Rosentraub Shapiro | Psychologist | 1314 E. Sonterra Blvd. Ste. 2208, San Antonio, TX 78258 | 2018-03-29 |
| 1841791845 | Vanessa Tugonon Chan | Psychologist | 7403 Tom Kite Ct, San Antonio, TX 78244-1586 | 2018-02-24 |
| 1841790722 | I Am Mind & Body Wellness Center, Pllc | Psychologist | 901 Ne Loop 410 Ste 508, San Antonio, TX 78209-1306 | 2018-02-16 |
| 1194236760 | Offices of Michael A Roman Phd | Psychologist | 4242 Medical Dr Ste 6150, San Antonio, TX 78229-5369 | 2017-10-23 |
| 1548785918 | Elizabeth A Toth | Psychologist | 9926 Tezel Rd, San Antonio, TX 78254-5520 | 2017-08-07 |
| 1851813323 | Stephanie Triana, Ph.d. LLC | Psychologist | 1848 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1566 | 2017-07-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78240 |
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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.