MS. BETH J GORDON M.S.
NPI 1558517243
Psychologist - Clinical in Ithaca, NY

Active since August 13, 2008PECOS Enrolled
127 W STATE ST FL 1, ITHACA, NY 14850(607) 273-7494 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Beth J Gordon M.s. NPPES

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

MS. BETH J GORDON M.S. (NPI 1558517243) is an individual clinical provider in Ithaca, New York, licensed in New York (020048) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1558517243
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMS. BETH J GORDONCredential: M.S.
Location Address127 W STATE ST FL 1Ithaca, NY 14850
Mailing Address127 W State St Fl 1Ithaca, NY 14850-5474 · (607) 273-7494
Sole ProprietorNo
Enumeration DateAugust 13, 2008
Last NPPES UpdateApril 15, 2019
NPI 1558517243 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 · 020048
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.
127 W STATE ST FL 1, Ithaca, NY 14850

Secondary Practice Location 1

Location 13512 Quentin RdBrooklyn, NY 11234-4231 · Phone (800) 275-3243

Other Identifiers 1

Other020048NY · New York License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Beth J Gordon M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Voluntary or Charitable
127 W STATE ST FL 1
ITHACA, NY 14850
Social Worker
127 W STATE ST FL 1
ITHACA, NY 14850
Social Worker
127 W STATE ST FL 1
ITHACA, NY 14850
Marriage & Family Therapist
127 W STATE ST FL 1
ITHACA, NY 14850

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 Beth Gordon's NPI number?

The NPI number for Beth Gordon is 1558517243. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Beth Gordon located?

Beth Gordon practices at 127 W State St Fl 1, Ithaca, NY 14850. The listed phone number is (607) 273-7494.

What is Beth Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Beth Gordon enrolled in Medicare?

Yes. Beth Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beth Gordon was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.