TOM GORDON LCSW THERAPY, PLLC
NPI 1356040356
Psychoanalyst in Goshen, NY
About Tom Gordon Lcsw Therapy, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOM GORDON LCSW THERAPY, PLLC (NPI 1356040356) is a healthcare organization registered as a psychoanalyst in Goshen, New York and active in the NPI registry since February 2023. The organization lists Thomas Wayne Gordon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tom Gordon Lcsw Therapy, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tom Gordon Lcsw Therapy, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tom Gordon Lcsw Therapy, PLLC's NPI number?
The NPI number for Tom Gordon Lcsw Therapy, PLLC is 1356040356. It was assigned to this organization in the NPPES registry on February 28, 2023.
Where is Tom Gordon Lcsw Therapy, PLLC located?
Tom Gordon Lcsw Therapy, PLLC is located at 45 John Street, Goshen, NY 10924. The listed phone number is (914) 810-3177.
What is Tom Gordon Lcsw Therapy, PLLC's specialty?
The primary specialty registered for this NPI is Psychoanalyst with taxonomy code 102L00000X.
Is Tom Gordon Lcsw Therapy, PLLC enrolled in Medicare?
Yes. Tom Gordon Lcsw Therapy, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tom Gordon Lcsw Therapy, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Tom Gordon Lcsw Therapy, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tom Gordon Lcsw Therapy, PLLC was last updated on February 28, 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.
# Tom Gordon Lcsw Therapy, Pllc · NPI 1356040356
Psychoanalyst organization in Goshen, New York. Organization record, active in the CMS NPPES registry since February 28, 2023.
## Identity
- **NPI:** 1356040356 (Entity type: Organization)
- **Enumerated:** February 28, 2023
- **Primary specialty:** Psychoanalyst · taxonomy 102L00000X
- **Organization subpart:** No
- **Authorized official:** Thomas Gordon, OWNER
## Practice location
- **Address:** 45 JOHN STREET, Goshen, NY 10924-1092
- **Phone:** (914) 810-3177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2023
- **Other identifiers:** Other 1508317363 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1356040356) · Data from the CMS NPPES public registry.