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JACQUELINE GORDON PSYD
NPI 1114923026
Psychologist - Clinical in Springfield, MO

Active since June 24, 2005
3800 S NATIONAL AVE STE 700, SPRINGFIELD, MO 65807(417) 269-8817(417) 269-8744 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2023, Mar 17, 2018, Oct 24, 2017 (3 updates tracked since 2017).

About Jacqueline Gordon Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE GORDON PSYD (NPI 1114923026) is an individual clinical provider in Springfield, Missouri, licensed in Missouri (01758) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1114923026
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACQUELINE GORDONCredential: PSYD
Location Address3800 S NATIONAL AVE STE 700Springfield, MO 65807-5279
Mailing Address3800 S National Ave Ste 700Springfield, MO 65807-5279 · (417) 269-8817 · Fax (417) 269-8744
Phone(417) 269-8817
Fax(417) 269-8744
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateJanuary 12, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1114923026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MO · 01758
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3800 S NATIONAL AVE STE 700, Springfield, MO 65807
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Other Identifiers 1

Medicaid498214014MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STACI DAWN ROGERS M.D.
Obstetrics & Gynecology
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817
BRADY ROBERT GARMON
Student in an Organized Health Care Education/Training Program
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817
CYNTHIA ARMSTRONG
Nurse Practitioner
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817
JOSHUA ETCHESON DO
Family Medicine
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817
MRS. CHARNELL SUE ALLAN NP-C
Nurse Practitioner
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817
TAYLOR RAY WEHMEYER DO
Student in an Organized Health Care Education/Training Program
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817
CERENA STINOGEL DO
Student in an Organized Health Care Education/Training Program
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817
NOAH EVERETT HOLMES DO
General Practice
3800 S NATIONAL AVE STE 700
SPRINGFIELD, MO 65807
Greene County (417) 269-8817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Gordon's NPI number?

The NPI number for Jacqueline Gordon is 1114923026. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Jacqueline Gordon located?

Jacqueline Gordon practices at 3800 S National Ave Ste 700, Springfield, MO 65807. The listed phone number is (417) 269-8817.

What is Jacqueline Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jacqueline Gordon was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.