MR. EITAN M GORDON ED.S.
NPI 1417455452
Psychologist - School in Lebanon, IN

Active since January 24, 2018
1810 N GRANT ST, LEBANON, IN 46052(773) 742-2487 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Eitan M Gordon Ed.s. NPPES

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

MR. EITAN M GORDON ED.S. (NPI 1417455452) is an individual school provider in Lebanon, Indiana, licensed in Indiana (10283464) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1417455452
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameMR. EITAN M GORDONCredential: ED.S.
Location Address1810 N GRANT STLebanon, IN 46052-1242
Mailing Address1810 N Grant StLebanon, IN 46052-1242 · (765) 483-3090 · Fax (765) 483-3087
Sole ProprietorNo
Enumeration DateJanuary 24, 2018
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1417455452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in IN · 10283464
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
1810 N GRANT ST, Lebanon, IN 46052

Other Providers at the Same Location NPPES 2

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

Psychologist (School)
1810 N GRANT ST
LEBANON, IN 46052
Local Education Agency (LEA)
1810 N GRANT ST
LEBANON, IN 46052

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 Eitan Gordon's NPI number?

The NPI number for Eitan Gordon is 1417455452. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Where is Eitan Gordon located?

Eitan Gordon practices at 1810 N Grant St, Lebanon, IN 46052. The listed phone number is (773) 742-2487.

What is Eitan Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Eitan Gordon was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.