DR. MITCHELL GORDON PH.D., ABPP
NPI 1669696365
Psychologist in Jacksonville, FL

Active since April 12, 2007
2827 RIDGEFIELD CT, JACKSONVILLE, FL 32257(786) 506-9934 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2020, Sep 20, 2019 (2 updates tracked since 2019).

About Dr. Mitchell Gordon Ph.d., Abpp NPPES

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

DR. MITCHELL GORDON PH.D., ABPP (NPI 1669696365) is an individual psychologist in Jacksonville, Florida, licensed in Florida (PY2241) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1669696365
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MITCHELL GORDONCredential: PH.D., ABPP
Location Address2827 RIDGEFIELD CTJacksonville, FL 32257-5870
Mailing Address2827 Ridgefield CtJacksonville, FL 32257-5870 · (786) 506-9934
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
NPI 1669696365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY2241
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY2241 (FL)
2827 RIDGEFIELD CT, Jacksonville, FL 32257

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 Mitchell Gordon's NPI number?

The NPI number for Mitchell Gordon is 1669696365. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Mitchell Gordon located?

Mitchell Gordon practices at 2827 Ridgefield Ct, Jacksonville, FL 32257. The listed phone number is (786) 506-9934.

What is Mitchell Gordon's specialty?

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

When was this NPI record last updated?

The NPPES record for Mitchell Gordon was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.