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Active NPI 1679754055 Individual Practitioner Male Practitioner

Dr. Jonathan Paul Gorham , PsyD

Psychologist - Clinical • Dyess Afb, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Gorham, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Dyess Afb, TX. Practice services are available at 697 LOUISIANA DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

697 Louisiana Dr.

Dyess Afb, TX 79607

Telephone 3256965380
Fax 3526965579

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Dyess Afb, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Dyess Afb, TX (2898 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

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License NY 019063-1

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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Samuel Tobler , PhD

Psychologist - Clinical

NPI 1053502401

Doctor of Philosophy (Ph.D.)

Linda Oberle , LMSW-C

Social Worker - Clinical

NPI 1154936573

LMSWC

Arnold Sauve , LCSW

Social Worker - Clinical

NPI 1205827219

Licensed Clinical Social Worker

Joan Raab , MSW

Social Worker - Clinical

NPI 1225005200

Master of Social Work

Dorothy Knox

Social Worker

NPI 1306574561
Dr. Deborah Hale , PhD

Psychologist - Clinical

NPI 1487607917

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 23, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 23, 2011

Registered at 697 LOUISIANA DR., DYESS AFB, TX 79607 (Tel: 3256965380)

📍
Updated Business Mailing Address May 23, 2011

Registered at 697 LOUISIANA DR., DYESS AFB, TX 79607 (Tel: 3256965380)

👤
Provider Name / Credentials Updated May 23, 2011

Recorded as JONATHAN GORHAM, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2011

Psychologist (License #019063-1 in NY)

🟢
Initial NPI Registration & Enumeration November 14, 2007

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: 1679754055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2007
Last Update: May 23, 2011
Sole Proprietor: Yes

Mailing Address

697 Louisiana Dr.

Dyess Afb, TX 79607

Phone: 3256965380

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.