Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT GORDON, PSYD
Deactivated Sole ProprietorPsychologist · BERKELEY, CA
This NPI has been deactivated.
The record was deactivated on January 9, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1447020243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2024 (0.016393442622951 yrs)
- Last Updated
- Oct 24, 2025
- Deactivated
- Jan 9, 2024
- License
-
PSY36173 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2915 MARTIN LUTHER KING JR WAYBERKELEY, CA, 947032133Browse CA providers · Browse ZIP 94703
- Phone
- 5104859655
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA G DITTON | PH.D. | 1376542985 |
| DR. MARGARET MULLALY NEMIROW | PH.D. | 1720066863 |
| DR. LAWRENCE JONAS YABROFF | PH.D. | 1780641241 |
| MARGRET KELLY | PHD | 1669424867 |
| DR. EVA BRADFORD | PH.D. | 1881629889 |
| TENLI YAVNEH | PSYCHOLOGIST | 1326072596 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.