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DR. JONATHAN PAUL GORHAM PSY.D.
NPI 1679754055
Psychologist - Clinical in Dyess Afb, TX

Active since November 14, 2007
697 LOUISIANA DR., DYESS AFB, TX 79607(325) 696-5380(352) 696-5579 Get Directions Write a Review

NPPES record last updated: May 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Paul Gorham Psy.d. NPPES

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

DR. JONATHAN PAUL GORHAM PSY.D. (NPI 1679754055) is an individual clinical provider in Dyess Afb, Texas, licensed in New York (019063-1) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1679754055
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JONATHAN PAUL GORHAMCredential: PSY.D.
Location Address697 LOUISIANA DR.Dyess Afb, TX 79607
Mailing Address697 Louisiana Dr.Dyess Afb, TX 79607 · (325) 696-5380 · Fax (352) 696-5579
Phone(325) 696-5380
Fax(352) 696-5579
Sole ProprietorYes
Enumeration DateNovember 14, 2007
Last NPPES UpdateMay 23, 2011
✔ NPI 1679754055 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 NY · 019063-1
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.
697 LOUISIANA DR., Dyess Afb, TX 79607
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Other Providers at the Same Location NPPES 3

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

DR. CYBELLE WALKER PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
697 LOUISIANA DR., 7 MDG
DYESS AFB, TX 79607
Taylor County (325) 696-3558
MRS. ANNATA RAE SULLIVAN RN, APRN
Nurse Practitioner (Family)
697 LOUISIANA DR.
DYESS, AFB, TX 79607
Taylor County (325) 696-3543
MR. MICHAEL S HAMIL IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
697 LOUISIANA DR.
DYESS, AFB, TX 79607
Taylor County (325) 696-2335

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 Jonathan Gorham's NPI number?

The NPI number for Jonathan Gorham is 1679754055. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Jonathan Gorham located?

Jonathan Gorham practices at 697 Louisiana Dr., Dyess Afb, TX 79607. The listed phone number is (325) 696-5380.

What is Jonathan Gorham's specialty?

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

When was this NPI record last updated?

The NPPES record for Jonathan Gorham was last updated on May 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.