Elsie M. Gordon, PH.D., LLC
NPI 1619360385ActiveOrganization· Psychologist· Gaithersburg, MD
Psychologist in Gaithersburg, Maryland, registered in NPPES in March 2015. The authorized official on file is Elsie Managbanag Gordon, PH.D., Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619360385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2015 |
| Last updated in NPPES | Mar 5, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 04451 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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