DR. DESIREE MARTINEAY GORDON PSYD
NPI 1255683561
Psychologist - Clinical in Madera, CA

Q: What is Desiree Gordon's NPI number?

The NPI number for Desiree Gordon is 1255683561. It was assigned to this individual provider in the NPPES registry on October 10, 2012. The provider is also known as Dr. Dezire' Martineay Gordon Psyd.

Q: What is Desiree Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Desiree Gordon was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 10, 2012PECOS EnrolledAccepts Medicare Assignment

2370 W CLEVELAND AVE # 108-320, MADERA, CA 93637(559) 777-9439(559) 416-7091 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Desiree Martineay Gordon Psyd NPPES

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

DR. DESIREE MARTINEAY GORDON PSYD (NPI 1255683561) is an individual clinical provider in Madera, California, licensed in California (PSY28775) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255683561

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DESIREE MARTINEAY GORDONCredential: PSYD

Location Address2370 W CLEVELAND AVE # 108-320Madera, CA 93637-8742

Mailing Address2370 W Cleveland Ave # 108-320Madera, CA 93637-8742 · (559) 777-9439 · Fax (559) 416-7091

Phone(559) 777-9439

Fax(559) 416-7091

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 10, 2012

Last NPPES UpdateFebruary 21, 2024

NPPES CertifiedFebruary 21, 2024

✔ NPI 1255683561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY28775

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License RA897812 (CA)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.003764 (IL)

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License 17815 (IL)

2370 W CLEVELAND AVE # 108-320, Madera, CA 93637

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Other Names 1

Former Name (1)Dr. Dezire' Martineay Gordon Psyd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Desiree Martineay Gordon Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931463049

PECOS Enrollment IDI20180425002183

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Desiree Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC

103 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

Sud Specialty Group - Ca

108 mi

Addiction Medicine

4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054

Reassigned Medicare billing, California enrollment
1,607 clinicians in this Medicare group

NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Desiree Gordon's NPI number?

The NPI number for Desiree Gordon is 1255683561. It was assigned to this individual provider in the NPPES registry on October 10, 2012. The provider is also known as Dr. Dezire' Martineay Gordon Psyd.

Where is Desiree Gordon located?

Desiree Gordon practices at 2370 W Cleveland Ave # 108-320, Madera, CA 93637. The listed phone number is (559) 777-9439.

What is Desiree Gordon's specialty?

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

Is Desiree Gordon enrolled in Medicare?

Yes. Desiree Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Desiree Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Gordon reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Desiree Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Desiree Gordon was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.