Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669696365 Individual Practitioner Male Practitioner

Dr. Mitchell Gordon , PhD, ABPP

Psychologist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Gordon, PhD, ABPP is a registered healthcare professional specializing in Psychologist in Jacksonville, FL. Practice services are available at 2827 RIDGEFIELD CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2827 Ridgefield Ct

Jacksonville, FL 322575870

Telephone 7865069934

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
89 Specialists

Practicing in Jacksonville, FL (2327 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-15
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL PY2241

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License FL PY2241

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 15, 2020

Registered at 2827 RIDGEFIELD CT, JACKSONVILLE, FL 322575870 (Tel: 7865069934)

📍
Updated Business Mailing Address September 15, 2020

Registered at 2827 RIDGEFIELD CT, JACKSONVILLE, FL 322575870 (Tel: 7865069934)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1021 IVES DAIRY ROAD, SUITE 119, NORTH MIAMI BEACH, FL 33179 (Tel: 3056552335)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1313 NW 139 TERRACE, PEMBROKE PINES, FL 33028 (Tel: 9544327897)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MITCHELL GORDON, PH.D., ABPP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PY2241 in FL)

🟢
Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669696365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: September 15, 2020
Sole Proprietor: Yes

Mailing Address

2827 Ridgefield Ct

Jacksonville, FL 322575870

Phone: 7865069934

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.