DR. AQUALUS MONDRELL GORDON PH.D.
NPI 1235729575
Psychologist in Lees Summit, MO

Active since January 20, 2021
1320 NE WINDSOR DR, LEES SUMMIT, MO 64086(816) 287-8959 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Aqualus Mondrell Gordon Ph.d. NPPES

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

DR. AQUALUS MONDRELL GORDON PH.D. (NPI 1235729575) is an individual psychologist in Lees Summit, Missouri, licensed in Missouri (2020017925) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1235729575
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. AQUALUS MONDRELL GORDONCredential: PH.D.
Location Address1320 NE WINDSOR DRLees Summit, MO 64086-8477
Mailing Address702 Ne Westwind DrLees Summit, MO 64086-5620 · (512) 923-5328
Sole ProprietorYes
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1235729575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2020017925
Definition

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.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 2020017925 (MO)
1320 NE WINDSOR DR, Lees Summit, MO 64086

Other Providers at the Same Location NPPES

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

Counselor (Professional)
1320 NE WINDSOR DR
LEES SUMMIT, MO 64086

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 Aqualus Gordon's NPI number?

The NPI number for Aqualus Gordon is 1235729575. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Aqualus Gordon located?

Aqualus Gordon practices at 1320 NE Windsor Dr, Lees Summit, MO 64086. The listed phone number is (816) 287-8959.

What is Aqualus Gordon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Aqualus Gordon was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.