ANN GORDON PH.D.
NPI 1659709228
Psychologist in Oakland, CA

Active since October 17, 2013Opted out of Medicare · through Apr 1, 2027
230 GRAND AVE, STE 204, OAKLAND, CA 94610(510) 501-5972(510) 380-6847 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ann Gordon Ph.d. NPPES

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

ANN GORDON PH.D. (NPI 1659709228) is an individual psychologist in Oakland, California, licensed in California (PSY22302) and active in the NPI registry since October 2013. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1659709228
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameANN GORDONCredential: PH.D.
Location Address230 GRAND AVE, STE 204Oakland, CA 94610-4559
Mailing Address230 Grand Ave, Ste 204Oakland, CA 94610-4559 · (510) 501-5972 · Fax (510) 380-6847
Fax(510) 380-6847
Sole ProprietorYes
Enumeration DateOctober 17, 2013
Last NPPES UpdateMay 20, 2020
NPPES CertifiedMay 20, 2020
NPI 1659709228 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 CA · PSY22302
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.
230 GRAND AVE, Oakland, CA 94610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ann Gordon Ph.d. 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 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Acupuncturist
230 GRAND AVE, STE. 202
OAKLAND, CA 94610
Chiropractor
230 GRAND AVE, SUITE 301C
OAKLAND, CA 94610
Psychologist
230 GRAND AVE, #304
OAKLAND, CA 94610
Acupuncturist
230 GRAND AVE, SUITE 301C
OAKLAND, CA 94610
Acupuncturist
230 GRAND AVE, SUITE #301C
OAKLAND, CA 94610
Dentist (General Practice)
230 GRAND AVE, SUITE 101
OAKLAND, CA 94610
Speech-Language Pathologist
230 GRAND AVE
OAKLAND, CA 94610

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 Ann Gordon's NPI number?

The NPI number for Ann Gordon is 1659709228. It was assigned to this individual provider in the NPPES registry on October 17, 2013.

Where is Ann Gordon located?

Ann Gordon practices at 230 Grand Ave Ste 204, Oakland, CA 94610. The listed phone number is (510) 501-5972.

What is Ann Gordon's specialty?

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

Is Ann Gordon enrolled in Medicare?

No. Ann Gordon has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ann Gordon was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.