Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942306675 Individual Practitioner Male Practitioner

Dr. Clifford I Gordon , EdD

Psychologist • Pascoag, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Clifford Gordon, EdD is a certified Psychologist practicing in Pascoag, RI. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Gordon delivers high-quality medical care to the local community at 36 BRIDGE WAY.

Dr. Gordon is affiliated with Northwest Community Health Care and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

36 Bridge Way

Pascoag, RI 028593131

Telephone 4015687661
Fax 4012455762
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Pascoag, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
43 Yrs Matches City Avg
City Avg: 43.0 Yrs
State Avg: 33.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Pascoag, RI (255 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

Clinical Seniority & Experience Comparison

Dr. Gordon (43 Years) 43 Yrs
Pascoag Specialty Average (43.0 Years) 43.0 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License RI PS00331

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7057168 (RI)
Commercial Insurance / Payer ID Bchip
00-5303 (RI)
Commercial Insurance / Payer ID Harvard Pilgrim
193805 (RI)
Commercial Insurance / Payer ID Medicare Group
411814 (RI)
Commercial Insurance / Payer ID United Health
61-00445 (RI)
Commercial Insurance / Payer ID Bcbs
304940 (RI)
Commercial Insurance / Payer ID Neighborhood
0716 (RI)

Hospital & Practice Group Affiliations

Northwest Community Health Care

Po Box, Pascoag, RI 02859

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Steven Hokeness , MD

Internal Medicine

NPI 1043231798

Doctor of Medicine (M.D.)

Linda Eibel , NP

Nurse Practitioner - Family

NPI 1386657096

Nurse Practitioner

Lisa Schiffmann , RN

Registered Nurse

NPI 1396847455

Registered Nurse

NPI 1427150515

Doctor of Dental Medicine

Maureen O'shea , LMHC

Marriage & Family Therapist

NPI 1477856490

Licensed Mental Health Counselor

Kimberly St.andre , RN

Registered Nurse

NPI 1568566263

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 08, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2008

Registered at 36 BRIDGE WAY, PASCOAG, RI 028593131 (Tel: 4015687661)

📍
Updated Business Mailing Address April 08, 2008

Registered at 18 OLD CHIMNEY RD, BARRINGTON, RI 028063243 (Tel: 4012472798)

👤
Provider Name / Credentials Updated April 08, 2008

Recorded as CLIFFORD GORDON, ED.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2008

Psychologist (License #PS00331 in RI)

🟢
Initial NPI Registration & Enumeration September 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942306675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2006
Last Update: April 08, 2008
Sole Proprietor: No

Mailing Address

18 Old Chimney Rd

Barrington, RI 028063243

Phone: 4012472798

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.