JANNA GORDON PHD
NPI 1639934854
Psychologist - Health in West Jordan, UT

Q: What is Janna Gordon's NPI number?

The NPI number for Janna Gordon is 1639934854. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Q: What is Janna Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Q: Is Janna Gordon enrolled in Medicare?

No. Janna Gordon has opted out of Medicare through April 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Janna Gordon was last updated on July 31, 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.

Active since February 16, 2024Opted out of Medicare · through Apr 9, 2028

7533 S CENTER VIEW CT STE R, WEST JORDAN, UT 84084(801) 214-8401 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Janna Gordon Phd NPPES

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

JANNA GORDON PHD (NPI 1639934854) is an individual health provider in West Jordan, Utah and active in the NPI registry since February 2024. She has opted out of Medicare through April 9, 2028.

NPPES Registry Identity

NPI1639934854

Entity TypeIndividualFemale

Primary Taxonomy103TH0004X

Provider Legal NameJANNA GORDONCredential: PHD

Location Address7533 S CENTER VIEW CT STE RWest Jordan, UT 84084-5526

Mailing Address2943 W Parkway Blvd Unit 228Salt Lake City, UT 84119-1986

Phone(801) 214-8401

Sole ProprietorYes

Enumeration DateFebruary 16, 2024

Last NPPES UpdateJuly 31, 2024

NPPES CertifiedJuly 31, 2024

✔ NPI 1639934854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers

Taxonomy Code103TH0004X

Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

7533 S CENTER VIEW CT STE R, West Jordan, UT 84084

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Janna Gordon Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 9, 2024 through April 9, 2028.

Opt-Out Effective DateApril 9, 2024

Opt-Out In Effect ThroughApril 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

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

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