DR. JEROME S GORDON PH.D.
NPI 1427103886
Psychologist - Family in Salem, OR

Active since January 24, 2007
635 CHURCH ST NE, SALEM, OR 97301(503) 399-9691(503) 399-9401 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jerome S Gordon Ph.d. NPPES

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

DR. JEROME S GORDON PH.D. (NPI 1427103886) is an individual family provider in Salem, Oregon, licensed in Oregon (682) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1427103886
Entity TypeIndividualMale
Primary Taxonomy103TF0000X
Provider Legal NameDR. JEROME S GORDONCredential: PH.D.
Location Address635 CHURCH ST NESalem, OR 97301-2402
Mailing Address635 Church St NeSalem, OR 97301-2402 · (503) 399-9691 · Fax (503) 399-9401
Fax(503) 399-9401
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1427103886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers
Taxonomy Code103TF0000X
License Licensed in OR · 682
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Also ListedPsychologistTaxonomy 103T00000X · License 682 (OR)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 682 (OR)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 682 (OR)
635 CHURCH ST NE, Salem, OR 97301

Other Identifiers 1

Medicaid172437OR

Other Providers at the Same Location NPPES 3

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

Psychologist (Health Service)
635 CHURCH ST NE
SALEM, OR 97301
Psychologist (Clinical)
635 CHURCH ST NE
SALEM, OR 97301
Psychologist (Group Psychotherapy)
635 CHURCH ST NE
SALEM, OR 97301

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 Jerome Gordon's NPI number?

The NPI number for Jerome Gordon is 1427103886. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Jerome Gordon located?

Jerome Gordon practices at 635 Church St NE, Salem, OR 97301. The listed phone number is (503) 399-9691.

What is Jerome Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

When was this NPI record last updated?

The NPPES record for Jerome Gordon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.