Kathryn Gordon, PHD
NPI 1982168589ActiveIndividual· Psychologist, Clinical· Fargo, ND
Psychologist, Clinical (PHD) in Fargo, North Dakota, licensed in MA and ND, with an NPI issued in January 2019.
Overview
| NPI | 1982168589 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jan 28, 2019 |
| Last updated in NPPES | Aug 17, 2022 |
| Certified by provider | Aug 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 11864 | MA |
| Psychologist, Clinical | 103TC0700X | 567 | ND |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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