Madeleine Gordon Psyd

LBN: Madeleine Gordon, Psy.D., Llc
Madeleine Gordon Psyd is an health care organization with primary practice located at 8 Stedman St , Jamaica Plain MA 02130-3618. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Madeleine Gordon, Psy.D., Llc can be contacted via phone (617) 915-3052, or through Gordon, Madeleine Bernice via phone (617) 915-3052.

Contact Information

Primary practice address
8 Stedman St Jamaica Plain MA 02130-3618
Phone: (617) 915-3052
Fax: (617) 675-9566
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Madeleine Bernice PSY.D.
Phone: (617) 915-3052

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1649881533
LBN Legal business name Madeleine Gordon, Psy.D., Llc
DBA Doing business as Madeleine Gordon Psyd
Authorized official Gordon, Madeleine Bernice PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2020
Last updated May 10th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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