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NORI GORDON, PSYD LLC
NPI 1598013161
Psychologist - Clinical in Glastonbury, CT

Active since August 29, 2012
36 WELLES ST, SUITE 210, GLASTONBURY, CT 06033(860) 657-0668 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nori Gordon, Psyd Llc NPPES

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

NORI GORDON, PSYD LLC (NPI 1598013161) is a healthcare organization registered as a clinical in Glastonbury, Connecticut and active in the NPI registry since August 2012. The organization lists Nori Gordon, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1598013161
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameNORI GORDON, PSYD LLC
Location Address36 WELLES ST, SUITE 210Glastonbury, CT 06033-2080
Mailing Address36 Welles St, Suite 210Glastonbury, CT 06033-2080
Phone(860) 657-0668
Organization SubpartNo
Authorized OfficialNori GordonLicensed Psychologist · (860) 657-0668
Enumeration DateAugust 29, 2012
Last NPPES UpdateOctober 12, 2012
✔ NPI 1598013161 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 CT · 2362
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.
36 WELLES ST, Glastonbury, CT 06033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nori Gordon, Psyd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20121031000029Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nori Gordon, Psyd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nori Gordon, PSY. D.
Clinical Psychologist
NPI 1952451890
148 EASTERN BLVD
Glastonbury, CT 06033
(860) 657-0668
✔ PECOS✔ Accepts Medicare1.3 mi

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 Nori Gordon, Psyd LLC's NPI number?

The NPI number for Nori Gordon, Psyd LLC is 1598013161. It was assigned to this organization in the NPPES registry on August 29, 2012.

Where is Nori Gordon, Psyd LLC located?

Nori Gordon, Psyd LLC is located at 36 Welles St Suite 210, Glastonbury, CT 06033. The listed phone number is (860) 657-0668.

What is Nori Gordon, Psyd LLC's specialty?

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

Is Nori Gordon, Psyd LLC enrolled in Medicare?

Yes. Nori Gordon, Psyd LLC is registered in the Medicare PECOS enrollment system.

When is Nori Gordon, Psyd LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nori Gordon, Psyd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Nori Gordon, Psyd LLC. 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 Nori Gordon, Psyd LLC was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.