DR. JONATHAN D GORDON (NPI# 1790299501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790299501 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN D GORDON |
| Credential | PH.D. |
| Practice Address |
310 Cedar Ln Fl 2 Teaneck NJ 07666-3441 |
| Practice Telephone | 2018010007 |
| Practice Fax Number | 2018010074 |
| Mailing Telephone | 2018010007 |
| Mailing Fax Number | 2018010074 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1358 | NJ | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
1358 | NJ | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1358 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1358 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
1358 | NJ | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1358 | NJ | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
1358 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PSYCHOLOGIST | SIO1358 | 01 |
| OH | PSYCHOLOGIST | 7540 | 01 |
| NY | PSYCHOLOGIST | 5614 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538647698 | Jonathan Gordon | Registered Nurse | 1419 Grande Mesa Dr, Georgetown, TX 78626-7079 | 2018-08-01 |
| 1720322852 | Jonathan Gordon | Dentist | 1250 Garth Rd, Baytown, TX 77520-2423 | 2012-11-15 |
| 1255669727 | Jonathan Dales Gordon | Dentist | 5425 Verna Blvd, Jacksonville, FL 32205-4762 | 2009-11-21 |
| 1568460483 | Jonathan K Gordon | Surgery | 100 Amesbury St, Suite 113, Lawrence, MA 01840-1321 | 2005-07-13 |
| 1235766940 | Jonathan Gordon | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-03-24 |
| 1104004886 | Jonathan Gordon | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-02-05 |
| 1932236528 | Jonathan L Gordon | Family Medicine | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-02-28 |
| 1255448767 | Jonathan Melvin Gordon | Dentist | 414 N Camden Dr, Suite 1260, Beverly Hills, CA 90210-4532 | 2006-08-23 |
| 1043232879 | Jonathan P. Gordon | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2006-07-24 |
| 1336173418 | Jonathan E Gordon | Optometrist | 4320 W Broward Blvd, Suite 2, Plantation, FL 33317-3756 | 2006-07-11 |
| Street Address |
310 CEDAR LN FL 2 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| 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 |
|---|---|---|---|---|
| 1821554767 | Alexander Alperin | Psychologist | 101 Cedar Ln Ste 201, Teaneck, NJ 07666-4417 | 2019-02-15 |
| 1871092577 | Samantha Katz LLC | Psychologist | 435 Churchill Rd, Teaneck, NJ 07666-2904 | 2018-02-08 |
| 1528417474 | Center for Behavioral Health | Psychologist | 125 Cedar Lane, Teaneck, NJ 07666 | 2016-06-10 |
| 1962868984 | Eva Lazar | Psychologist | 141 Ayers Ct Ste 2a, Teaneck, NJ 07666-5160 | 2016-01-06 |
| 1063767234 | Joan Kastner | Psychologist | 101 E. Cedar Lane, Teaneck, NJ 07666 | 2012-07-13 |
| 1912144544 | Rachel Waxman | Psychologist | 416 Cedar Ln Fl 2, Teaneck, NJ 07666-1709 | 2009-01-20 |
| 1043401706 | Rosalee G Weiss | Psychologist | 1665 Hanover St, Teaneck, NJ 07666-2222 | 2007-08-07 |
| 1255543658 | Michael David Yammer | Psychologist | 10 Minell Pl, Suite 4, Teaneck, NJ 07666-5508 | 2007-05-06 |
| 1720208440 | Alicia Leigh Poleshuk | Psychologist | 101 Cedar Ln Ste 304, Teaneck, NJ 07666-4417 | 2007-04-26 |
| 1639394182 | Alice Schaeffer Nadelman | Psychologist | 368 Vandelinda Ave, Teaneck, NJ 07666-3135 | 2007-04-17 |
| Find all providers in TEANECK | ||||
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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.