IndividualActive
Chanelle Gordon, PH.D.
NPI 1023728896 · Clinical Psychologist · Omaha, NE
Chanelle Gordon, PH.D. is a Clinical Psychologist provider in Omaha, NE (NPI 1023728896).
Provider details
- NPI number
- 1023728896
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 1006 (NE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14122 Manderson Plz Apt 107
Omaha, NE 68164-6296
Phone: (415) 294-0872
Street-level locationGet directions
Mailing address
14122 Manderson Plz Apt 107
Omaha, NE 68164-6296
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Frequently asked questions
- What is Chanelle Gordon's NPI number?
- Chanelle Gordon's National Provider Identifier (NPI) is 1023728896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chanelle Gordon's specialty?
- Chanelle Gordon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Chanelle Gordon located?
- Chanelle Gordon's practice location on file with NPPES is 14122 Manderson Plz Apt 107, Omaha, NE 68164-6296.
- What is Chanelle Gordon's phone number?
- The practice phone number listed in the NPPES registry for Chanelle Gordon is (415) 294-0872.
- Is Chanelle Gordon's NPI active?
- Yes — Chanelle Gordon's NPI (1023728896) is active in the NPPES registry as of the last update on 2022-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.