Timothy Gordon, PHD
NPI 1083920474 · Clinical Psychologist · Durham, NC
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Gordon, PHD is a Clinical Psychologist provider in Durham, NC (NPI 1083920474).
Provider details
- NPI number
- 1083920474
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2011014431 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2015-06-04
Frequently asked questions
- What is Timothy Gordon's NPI number?
- Timothy Gordon's National Provider Identifier (NPI) is 1083920474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Gordon's specialty?
- Timothy Gordon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Timothy Gordon located?
- Timothy Gordon's practice location on file with NPPES is 4102 Ben Franklin Blvd, Durham, NC 27704-2140.
- What is Timothy Gordon's phone number?
- The practice phone number listed in the NPPES registry for Timothy Gordon is (919) 972-7700.
- Does Timothy Gordon accept Medicare?
- Timothy Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Gordon's NPI active?
- Yes — Timothy Gordon's NPI (1083920474) is active in the NPPES registry as of the last update on 2015-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.