DR. JACLYN GORDON PSY.D.
NPI 1285487504
Psychologist - Clinical in Long Beach, NY

Q: What is Jaclyn Gordon's NPI number?

The NPI number for Jaclyn Gordon is 1285487504. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Jaclyn 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 Jaclyn Gordon was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 April 08, 2024

42 ILLINOIS AVE, LONG BEACH, NY 11561(347) 559-5694 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Jaclyn Gordon Psy.d. NPPES

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

DR. JACLYN GORDON PSY.D. (NPI 1285487504) is an individual clinical provider in Long Beach, New York, licensed in New York (026039) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1285487504

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACLYN GORDONCredential: PSY.D.

Location Address42 ILLINOIS AVELong Beach, NY 11561-1112

Mailing Address42 Illinois AveLong Beach, NY 11561-1112

Phone(347) 559-5694

Sole ProprietorYes

Enumeration DateApril 8, 2024

Last NPPES UpdateJanuary 20, 2025

NPPES CertifiedJanuary 20, 2025

✔ NPI 1285487504 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 NY · 026039

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.

42 ILLINOIS AVE, Long Beach, NY 11561

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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 Jaclyn Gordon's NPI number?

The NPI number for Jaclyn Gordon is 1285487504. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Jaclyn Gordon located?

Jaclyn Gordon practices at 42 Illinois Ave, Long Beach, NY 11561. The listed phone number is (347) 559-5694.

What is Jaclyn 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 Jaclyn Gordon was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.