CLIFFORD I GORDON ED.D.
NPI 1942306675
Psychologist in Pascoag, RI

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
36 BRIDGE WAY, PASCOAG, RI 02859(401) 568-7661(401) 245-5762 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Clifford I Gordon Ed.d. NPPES

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

CLIFFORD I GORDON ED.D. (NPI 1942306675) is an individual psychologist in Pascoag, Rhode Island, licensed in Rhode Island (PS00331) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1942306675
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameCLIFFORD I GORDONCredential: ED.D.
Location Address36 BRIDGE WAYPascoag, RI 02859-3131
Mailing Address18 Old Chimney RdBarrington, RI 02806-3243 · (401) 247-2798 · Fax (401) 245-5762
Fax(401) 245-5762
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 8, 2008
NPI 1942306675 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 RI · PS00331
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.
36 BRIDGE WAY, Pascoag, RI 02859

Other Identifiers 7

Other00-5303RI · Bchip
Other411814RI · Medicare Group
Other0716RI · Neighborhood
Other193805RI · Harvard Pilgrim
Other304940RI · Bcbs
Other61-00445RI · United Health
Medicaid7057168RI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clifford I Gordon Ed.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 ID8729039987
PECOS Enrollment IDI20050204000110
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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
36 BRIDGE WAY
PASCOAG, RI 02859
Nurse Practitioner (Family)
36 BRIDGE WAY
PASCOAG, RI 02859
Clinic/Center (Radiology)
36 BRIDGE WAY
PASCOAG, RI 02859
Dentist (General Practice)
36 BRIDGE WAY
PASCOAG, RI 02859
Nurse Practitioner (Family)
36 BRIDGE WAY
PASCOAG, RI 02859
Dentist (General Practice)
36 BRIDGE WAY
PASCOAG, RI 02859
Nurse Practitioner (Family)
36 BRIDGE WAY
PASCOAG, RI 02859
Physician Assistant
36 BRIDGE WAY
PASCOAG, RI 02859

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 Clifford Gordon's NPI number?

The NPI number for Clifford Gordon is 1942306675. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Clifford Gordon located?

Clifford Gordon practices at 36 Bridge Way, Pascoag, RI 02859. The listed phone number is (401) 568-7661.

What is Clifford Gordon's specialty?

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

Is Clifford Gordon enrolled in Medicare?

Yes. Clifford 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.

What insurance does Clifford Gordon accept?

Health plans from Harvard Pilgrim Health Care and Providence Health Plan list Clifford 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 Clifford Gordon was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.