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MR. DAVID PAUL GORDON MSW
NPI 1619197993
Psychoanalyst in Minneapolis, MN

Active since April 27, 2007PECOS Enrolled
133 W 50TH ST, MINNEAPOLIS, MN 55419(612) 281-7773 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. David Paul Gordon Msw NPPES

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

MR. DAVID PAUL GORDON MSW (NPI 1619197993) is an individual psychoanalyst provider in Minneapolis, Minnesota, licensed in Minnesota (45-0463081) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1619197993
Entity TypeIndividualMale
Primary Taxonomy102L00000X
Provider Legal NameMR. DAVID PAUL GORDONCredential: MSW
Location Address133 W 50TH STMinneapolis, MN 55419-1307
Mailing Address133 W 50th StMinneapolis, MN 55419-1307 · (612) 281-7773
Phone(612) 281-7773
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateApril 27, 2007
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1619197993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychoanalystBehavioral Health & Social Service Providers
Taxonomy Code102L00000X
License✔ Licensed in MN · 45-0463081
Definition
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
133 W 50TH ST, Minneapolis, MN 55419
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Other Identifiers 1

Other45-0463081MN · Employee Id Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Paul Gordon Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537106562
PECOS Enrollment IDI20050412000558
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.

Medicare Billing Reassignment

Medicare enrollment records show David Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

David P. Gordon, Ltd.
2.7 mi
Psychoanalyst
1516 W LAKE ST STE 304
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1023273349 (612) 281-7773

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 David Gordon's NPI number?

The NPI number for David Gordon is 1619197993. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Where is David Gordon located?

David Gordon practices at 133 W 50th St, Minneapolis, MN 55419. The listed phone number is (612) 281-7773.

What is David Gordon's specialty?

The primary specialty registered for this NPI is Psychoanalyst with taxonomy code 102L00000X.

Is David Gordon enrolled in Medicare?

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

Which organization bills Medicare for David Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Gordon reassigns Medicare benefits to David P. Gordon, Ltd. (Minneapolis, MN). The 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 David Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Gordon was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.