DR. BRIAN HEATH GORDON (NPI# 1871818369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871818369 |
| Entity Type | Individual |
| Full Name | DR. BRIAN HEATH GORDON |
| Credential | PHD |
| Practice Address |
357 Towne Center Blvd Ste 403 Ridgeland MS 39157-4844 |
| Mailing Address |
Po Box 2427 Madison MS 39130-2427 |
| Practice Telephone | 6018695898 |
| Practice Fax Number | 6015890825 |
| Mailing Telephone | 6018695898 |
| Mailing Fax Number | 6015890825 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 48839 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528279809 | Brian Stewart Gordon | Internal Medicine | 2310 Hallock-young Rd., Warren, OH 44482 | 2007-05-25 |
| 1336609437 | Brian Adam Jamison Gordon | Student in an Organized Health Care Education/Training Program | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-03-23 |
| 1235662180 | Brian Gordon | Student in an Organized Health Care Education/Training Program | 500 S Preston St, Rm 305, Louisville, KY 40202-1702 | 2017-04-07 |
| 1477003044 | Brian Gordon | Obstetrics & Gynecology | 1200 N State St, Los Angeles, CA 90033-1029 | 2016-10-07 |
| 1114285020 | Brian Gordon | Counselor | 1060 Gaffney Rd Stop 7440, Ft Wainwright, AK 99703-5007 | 2012-04-27 |
| 1740509165 | Brian Phillip Glen Gordon Sr. | Driver | 29 Cambridge Ave, 29 Cambridge Ave., Buffalo, NY 14215-4001 | 2010-05-25 |
| 1922279371 | Brian Gordon | Counselor | 491 Main St, Athol, MA 01331-1846 | 2008-03-13 |
| 1093857641 | Brian Eugene Gordon | Surgery | 714 Hospital Dr, Andrews, TX 79714-3617 | 2007-02-12 |
| 1750445821 | Brian Gordon | Chiropractor | 5363 Balboa Blvd, Suite 436, Encino, CA 91316-2805 | 2006-12-21 |
| 1093755043 | Brian Louis Gordon | Emergency Medicine | 600 N Highland Springs Avenue, Banning, CA 92220 | 2006-06-07 |
| Street Address |
357 TOWNE CENTER BLVD STE 403 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124527841 | Clinical & Forensic Neuropsychology Services LLC | Clinical Neuropsychologist | 357 Towne Center Blvd Ste 403, Ridgeland, MS 39157-4844 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124527841 | Clinical & Forensic Neuropsychology Services LLC | Clinical Neuropsychologist | 357 Towne Center Blvd Ste 403, Ridgeland, MS 39157-4844 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073093894 | Virginia Catherine Persinger | Clinical Neuropsychologist | 1350 E Woodrow Ave, Jackson, MS 39216-5112 | 2018-08-21 |
| 1780963793 | Joy Humphreys Clark | Clinical Neuropsychologist | 1350 E. Woodrow Wilson, Jackson, MS 39216-5112 | 2011-08-08 |
| 1194028555 | Gulf Coast Neuropsychology, LLC | Clinical Neuropsychologist | 16195c Landon Rd, Gulfport, MS 39503-4121 | 2010-12-07 |
| 1699968453 | Ethel Wiest Hetrick | Clinical Neuropsychologist | 412 Highway 90, Suite 10, Bay Saint Louis, MS 39520-3534 | 2007-08-23 |
| 1922210103 | Kevin J. Mccarthy | Clinical Neuropsychologist | 415 W Canal St, Picayune, MS 39466-3912 | 2007-05-03 |
| 1518049238 | Andrea Lyn Todd | Clinical Neuropsychologist | 542 Arbor Station Dr, Long Beach, MS 39560-5741 | 2006-10-20 |
| 1720022973 | William Brian Thomas | Clinical Neuropsychologist | 144 S Thomas St Ste 104a, Tupelo, MS 38801-5337 | 2006-06-16 |
| 1285614370 | Samuel E. Fleming IIi | Clinical Neuropsychologist | 211 N Madison St, Tupelo, MS 38804-3807 | 2006-01-17 |
| 1023402047 | Nancy H. Goldman, LLC | Clinical Neuropsychologist | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 | 2015-03-27 |
| 1952727430 | Racha Fares | Clinical Neuropsychologist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2014-03-08 |
| Find all providers with the same taxonomy | ||||
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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.