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Active NPI 1417455452 Individual Practitioner Male Practitioner

Eitan M Gordon , EDS

Psychologist - School • Lebanon, IN

Professional Overview & Biography Verified Profile Summary

Eitan Gordon, EDS is a registered healthcare professional specializing in Psychologist - School in Lebanon, IN. Practice services are available at 1810 N GRANT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1810 N Grant St

Lebanon, IN 460521242

Telephone 7737422487
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Lebanon, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Lebanon, IN (517 Statewide)

Telehealth Adoption Rate
0.0% 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: 2024-10-28
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License IN 10283464

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Kristin Blessing

Psychologist - School

NPI 1215751995

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 28, 2024

Registered at 1810 N GRANT ST, LEBANON, IN 460521242 (Tel: 7737422487)

📍
Updated Business Mailing Address October 28, 2024

Registered at 1810 N GRANT ST, LEBANON, IN 460521242 (Tel: 7654833090)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2024

Psychologist (License #10283464 in IN)

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2018

Registered at 2800 29TH ST, ZION, IL 600993010 (Tel: 8478725455)

📍
Updated Business Mailing Address January 24, 2018

Registered at 2800 29TH ST, ZION, IL 600993010 (Tel: 8478725455)

👤
Provider Name / Credentials Updated January 24, 2018

Recorded as EITAN GORDON, ED.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Psychologist (License #824544 in IL)

🟢
Initial NPI Registration & Enumeration January 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417455452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2018
Last Update: October 28, 2024
Sole Proprietor: No

Mailing Address

1810 N Grant St

Lebanon, IN 460521242

Phone: 7654833090

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.