MICHAEL A GORDON PHD
NPI 1508958489
Psychologist in Duluth, GA

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF BEHAVIORAL HEALTH, DULUTH, GA 30096(770) 931-6012 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael A Gordon Phd NPPES

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

MICHAEL A GORDON PHD (NPI 1508958489) is an individual psychologist in Duluth, Georgia, licensed in Georgia (PSY002028) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1508958489
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMICHAEL A GORDONCredential: PHD
Location Address3650 STEVE REYNOLDS BLVD, DEPARTMENT OF BEHAVIORAL HEALTHDuluth, GA 30096-4506
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 29, 2006
Last NPPES UpdateJanuary 13, 2022
NPI 1508958489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY002028
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3650 STEVE REYNOLDS BLVD, Duluth, GA 30096

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael A Gordon Phd 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 ID1658348321
PECOS Enrollment IDI20040913000719
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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Audiologist
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Midwife
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096
Pediatrics
3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Midwife
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Social Worker (Clinical)
3650 STEVE REYNOLDS BLVD, GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096

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 Michael Gordon's NPI number?

The NPI number for Michael Gordon is 1508958489. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Michael Gordon located?

Michael Gordon practices at 3650 Steve Reynolds Blvd Department Of Behavioral Health, Duluth, GA 30096. The listed phone number is (770) 931-6012.

What is Michael Gordon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Gordon enrolled in Medicare?

Yes. Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Gordon was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.