MS. LINDA KAMSTRA GORDON (NPI# 1679555122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679555122 |
| Entity Type | Individual |
| Full Name | MS. LINDA KAMSTRA GORDON |
| Credential | M.A., L.P., L.A.D.C. |
| Practice Address |
4651 Nicols Rd Suite 102a Eagan MN 55122-3336 |
| Practice Telephone | 6516883168 |
| Practice Fax Number | 6516883583 |
| Mailing Telephone | 6516883168 |
| Mailing Fax Number | 6516883583 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3677 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336363662 | Linda A. Gordon | Social Worker | 10000 Colesville Rd, Silver Spring, MD 20901-2335 | 2007-04-11 |
| 1629197835 | Linda Arline Gordon | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 108 Union Street, Belfast, ME 04915-6731 | 2007-03-28 |
| 1912088667 | Linda Diane Gordon | Psychiatry & Neurology | 801 Market Street, Community Behavioral Health, 7th Floor, Philadelphia, PA 19107 | 2006-10-18 |
| 1588000384 | Linda Gordon | Pharmacist | 316 Calhoun St, Charleston, SC 29401-1113 | 2013-05-20 |
| 1013106848 | Linda Gordon | Licensed Practical Nurse | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2007-10-17 |
| 1275743007 | Linda E Gordon | Social Worker | 1568 Creekside Dr, Suite 206, Folsom, CA 95630-3449 | 2007-05-23 |
| 1922017441 | Linda Gordon | Internal Medicine | 50 Berry Rd, Washington, PA 15301-2768 | 2006-08-05 |
| 1447282637 | Linda Ruth Gordon | Pediatrics | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2006-07-07 |
| 1447243506 | Linda M Gordon | Radiology | 2125 Oak Grove Rd, #200, Walnut Creek, CA 94598-2536 | 2005-08-24 |
| Street Address |
4651 NICOLS RD SUITE 102A |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-3336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942609425 | American Home Health Aide LLC | Home Health | 4651 Nicols Rd, Suite 205, Eagan, MN 55122-3336 | 2014-08-20 |
| 1629159678 | Qol Guidance PC | Psychologist | 4651 Nicols Rd, Suite 102a, Eagan, MN 55122-3336 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| 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 |
|---|---|---|---|---|
| 1164065868 | Karen Nicole Chinnock | Psychologist | 930 Blue Gentian Rd, Eagan, MN 55121-1674 | 2019-10-25 |
| 1598965931 | Robyn A Drach | Psychologist | 2113 Cliff Drive, #104, Eagan, MN 55122 | 2007-07-24 |
| 1750491296 | Traci Lee Hackmann Bates | Psychologist | 3920 Sibley Memorial Hwy, Eagan, MN 55122-1414 | 2006-08-30 |
| 1326048422 | Linda S. Raasch | Psychologist | 4555 Erin Dr, Suite 260, Eagan, MN 55122-3398 | 2005-07-29 |
| 1043835671 | Sgw Psychological Services LLC | Psychologist | 1585 Thomas Center Dr, Eagan, MN 55122-3007 | 2020-06-09 |
| 1598055311 | Thomas G Singleton | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2011-04-13 |
| 1376864421 | Mary Rekuski | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2010-06-11 |
| 1093952400 | Michael Lee Bortel | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2009-01-07 |
| 1285853580 | Robert Daniel Berger | Psychologist | 3450 Oleary Ln, Eagan, MN 55123-2340 | 2007-04-25 |
| 1376690529 | Aslan Institute | Psychologist | 4555 Erin Dr, Suite 260, Eagan, MN 55122-3398 | 2007-01-03 |
| Find all providers in EAGAN | ||||
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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.