CLIFFORD I GORDON (NPI# 1942306675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942306675 |
| Entity Type | Individual |
| Full Name | CLIFFORD I GORDON |
| Credential | ED.D. |
| Practice Address |
36 Bridge Way Pascoag RI 02859-3131 |
| Mailing Address |
18 Old Chimney Rd Barrington RI 02806-3243 |
| Practice Telephone | 4015687661 |
| Practice Fax Number | 4012455762 |
| Mailing Telephone | 4012472798 |
| Mailing Fax Number | 4012455762 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS00331 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BCHIP | 00-5303 | 01 |
| RI | HARVARD PILGRIM | 193805 | 01 |
| RI | MEDICARE GROUP | 411814 | 01 |
| RI | NEIGHBORHOOD | 0716 | 01 |
| RI | BCBS | 304940 | 01 |
| RI | UNITED HEALTH | 61-00445 | 01 |
| RI | 7057168 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089816 | Clifford Avery Gordon | Internal Medicine | 13 Donald Ct, Wayne, NJ 07470-4608 | 2005-08-10 |
| 1205465713 | Clifford Wayne Gordon Jr. | Student in an Organized Health Care Education/Training Program | 501 Redmond Rd Nw, Rome, GA 30165-1415 | 2020-04-06 |
| Street Address |
36 BRIDGE WAY |
| City | PASCOAG |
| State | RI |
| Zip Code | 02859-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245219070 | Northwest Community Health Care | Clinic/Center | 36 Bridge Way, Pascoag, RI 02859 | 2006-01-11 |
| 1699311753 | Miryam Amelia Boucher | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-11-25 |
| 1699335059 | Jessica Wood | Specialist/Technologist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-06-18 |
| 1477048098 | Ashleigh Nicole Graley | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-06-26 |
| 1275032476 | Alice Mui | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-02-03 |
| 1942721246 | Leslie Bumpus | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2017-06-28 |
| 1275932311 | Sarah C. Gulla | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-14 |
| 1194134601 | Khantil R Shah | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-08 |
| 1235548371 | Stephanie Pinto | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-02 |
| 1700291861 | Kendra Crotty | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397763 | Patricia Scuncio | Physical Therapy Assistant | 252 Donahue Road, Pascoag, RI 02859 | 2014-08-28 |
| 1134479520 | Kimberly Mary Cote | Social Worker | 2078 Wallum Lake Rd., Pascoag, RI 02859 | 2012-09-13 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
| 1427243682 | Julie A. Vander Schel | Counselor | 2076 Wallum Lake Road, Pascoag, RI 02859 | 2007-09-11 |
| 1699985226 | Donna Watson | Counselor | 2198 Wallum Lake Rd., Pascoag, RI 02859 | 2007-05-23 |
| 1194817197 | Purvi Chokshi | Internal Medicine | 2090 Wallum Lake Road, Pascoag, RI 02859 | 2006-09-28 |
| 1659395622 | Dennis Edward Joyce | Counselor | 2198 Wallum Lake Road, Pascoag, RI 02859 | 2006-07-26 |
| 1427087782 | Robert James Brothers | Counselor | 2198 Wallum Lake Rd, Pascoag, RI 02859 | 2006-06-30 |
| 1194002972 | Northwest Community Health Care | Community/Behavioral Health | 1 High Street, Pascoag, RI 02859 | 2011-11-08 |
| Find all providers in zip 02859 | ||||
| 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 |
|---|---|---|---|---|
| 1366053803 | Trisha Lynn Arnold | Psychologist | 491 Hope St, Providence, RI 02906-1630 | 2020-08-10 |
| 1962024869 | Chonlada Jarukitisakul | Psychologist | 69 Brown Street Page-robinson Hall 512, Providence, RI 02912-0001 | 2020-05-13 |
| 1356970099 | Alberto Soto | Psychologist | 843 Smith St, Providence, RI 02908-2852 | 2020-04-05 |
| 1942837885 | Kristen Wesbecher | Psychologist | 830 Chalkstone Ave Bldg 1e315, Providence, RI 02908-4734 | 2020-03-23 |
| 1497395487 | Erin Sweeney | Psychologist | 245 Waterman St Ste 200, Providence, RI 02906-5215 | 2020-01-08 |
| 1003454315 | Livia Freier | Psychologist | 38 N Court St, Providence, RI 02903-1266 | 2019-12-17 |
| 1053882670 | Bonita Gail Cade | Psychologist | 12 Antelope Way, Tiverton, RI 02878-2544 | 2018-12-07 |
| 1083199624 | Chelsea Tucker | Psychologist | 43 Broad St Ste B, Westerly, RI 02891-1977 | 2018-09-29 |
| 1154809812 | Alejandro Leguizamo | Psychologist | 20 Cathedral Ave, Providence, RI 02908-1929 | 2018-08-03 |
| 1003301987 | Kevin Farrell Gaw | Psychologist | 25 Tingley Dr, Cumberland, RI 02864-4216 | 2018-06-25 |
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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.