Dr. Scott Gordon , PsyD
Psychologist • Berkeley, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Scott Gordon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Scott Gordon, PsyD was a registered Psychologist practicing in Berkeley, CA. Throughout an active medical career spanning 1 years, Dr. Gordon provided care at the practice location at 2915 MARTIN LUTHER KING JR WAY until profile deactivation on 2024-01-09.
Practice Location & Contact Primary Location
2915 Martin Luther King Jr Way
Berkeley, CA 947032133
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist in Berkeley, CA
Practicing in Berkeley, CA (7695 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-10-24NUCC Taxonomy Code: 103T00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Marriage & Family Therapist
Marriage and Family Therapist
Marriage & Family Therapist
Master of Arts
Counselor - Professional
Licensed Professional Clinical Counselor
Marriage & Family Therapist
AMFT#
Social Worker - Clinical
Licensed Clinical Social Worker
Counselor - Mental Health
Licensed Professional Clinical Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 2915 MARTIN LUTHER KING JR WAY, BERKELEY, CA 947032133 (Tel: 5104859655)
Registered at 1442A WALNUT ST # 326, BERKELEY, CA 947091405 (Tel: 5104859655)
Recorded as SCOTT GORDON, PSYD
Psychologist (License #PSY36173 in CA)
Record deactivated on January 09, 2024
NPI status registered as active in NPPES database
Registered at 2475 WASHINGTON ST STE 3, SAN FRANCISCO, CA 941151816 (Tel: 5104859655)
Registered at 2475 WASHINGTON ST STE 3, SAN FRANCISCO, CA 941151816 (Tel: 5104859655)
Recorded as SCOTT GORDON
Psychologist (License #PSB94027444 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1442a Walnut St # 326
Berkeley, CA 947091405
Phone: 5104859655
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