DR. LINDA DIANE GORDON (NPI# 1912088667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912088667 |
| Entity Type | Individual |
| Full Name | DR. LINDA DIANE GORDON |
| Credential | MD |
| Practice Address |
801 Market Street Community Behavioral Health, 7th Floor Philadelphia PA 19107 |
| Mailing Address |
657 Augusta Ct Berwyn PA 19312-1979 |
| Practice Telephone | 2154133100 |
| Mailing Telephone | 6102995048 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD026956E | PA | Allopathic & Osteopathic Physicians |
| 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 |
| 1679555122 | Linda Kamstra Gordon | Psychologist | 4651 Nicols Rd, Suite 102a, Eagan, MN 55122-3336 | 2005-11-18 |
| 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 |
801 MARKET STREET COMMUNITY BEHAVIORAL HEALTH, 7TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440621 | Eastern Pennsylvania Physician Alliance LLC | Psychiatry & Neurology | 4641 E Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2019-11-06 |
| 1982083366 | Jaclyn Chua | Psychiatry & Neurology | 3440 Market St Ste 200, Philadelphia, PA 19104-3336 | 2015-05-19 |
| 1295175602 | Grace Unsal | Psychiatry & Neurology | Belmont Behavioral Hospital, LLC, 4200 Monument Road, Philadelphia, PA 19131 | 2013-06-29 |
| 1437463783 | Gordon R. Hodas | Psychiatry & Neurology | 8104 Germantown Ave, Philadelphia, PA 19118-3423 | 2010-07-28 |
| 1063731388 | Marc A. Forman | Psychiatry & Neurology | 233 S. 6th St, Philadelphia, PA 19106-3756 | 2010-05-26 |
| 1578723839 | Thomas Jefferson University Psych | Psychiatry & Neurology | 833 Chestnut St Ste 630, Philadelphia, PA 19107-4416 | 2008-06-11 |
| 1346464880 | Manely Ghaffari | Psychiatry & Neurology | 129 N 4th St, Office 1f, Philadelphia, PA 19106-1817 | 2007-04-13 |
| 1700954922 | Neurology Associates Ltd | Psychiatry & Neurology | 1514 Wolf St, Philadelphia, PA 19145-4441 | 2006-12-04 |
| 1821182726 | Katie L. Hoeveler | Psychiatry & Neurology | 3440 Market Street, 4th Floor, The Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-10-03 |
| 1235169897 | Aurora M Casta | Psychiatry & Neurology | 133 S 36th St, Philadelphia, PA 19104-3201 | 2006-07-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.