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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA GORDON PH.D.
NPI 1831074186
Psychologist - Clinical Child & Adolescent in Pace, FL

Active since August 06, 2025PECOS EnrolledAccepts Medicare Assignment
4501 WOODBINE RD, PACE, FL 32571(850) 994-1205 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Nov 8, 2025, Aug 6, 2025 (3 updates tracked since 2025).

About Amanda Gordon Ph.d. NPPES

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

AMANDA GORDON PH.D. (NPI 1831074186) is an individual clinical child & adolescent provider in Pace, Florida, licensed in Florida (PY13342) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831074186
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameAMANDA GORDONCredential: PH.D.
Location Address4501 WOODBINE RDPace, FL 32571-8706
Mailing Address4501 Woodbine RdPace, FL 32571-8706 · (850) 994-1205
Phone(850) 994-1205
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 6, 2025
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1831074186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Licenses✔ Licensed in FL · PY13342✔ Licensed in MN · LP7283
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
4501 WOODBINE RD, Pace, FL 32571
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Gordon Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880186097
PECOS Enrollment IDI20251125002276
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 Amanda Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fraser Child And Family Center
1,044 mi
Adolescent and Children Mental Health
3333 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 clinicians in this Medicare group
NPI 1609922194 (612) 331-9413

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 Amanda Gordon's NPI number?

The NPI number for Amanda Gordon is 1831074186. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Amanda Gordon located?

Amanda Gordon practices at 4501 Woodbine Rd, Pace, FL 32571. The listed phone number is (850) 994-1205.

What is Amanda Gordon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Amanda Gordon enrolled in Medicare?

Yes. Amanda Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amanda Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gordon reassigns Medicare benefits to Fraser Child And Family Center (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 Amanda Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Gordon accept?

Health plans from HealthPartners list Amanda Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Gordon was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.