Gordon Street, PHD
NPI 1184699910 · Clinical Psychologist · Lincoln, ME
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gordon Street, PHD is a Clinical Psychologist provider in Lincoln, ME (NPI 1184699910).
Provider details
- NPI number
- 1184699910
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- PS1177 (ME)
Specialties & taxonomies
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
20 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
- 2006-02-23
- Last updated
- 2023-03-30
- Certified
- 2023-03-30
Frequently asked questions
- What is Gordon Street's NPI number?
- Gordon Street's National Provider Identifier (NPI) is 1184699910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gordon Street's specialty?
- Gordon Street is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Gordon Street located?
- Gordon Street's practice location on file with NPPES is 175 West Broadway, Lincoln, ME 04457.
- What is Gordon Street's phone number?
- The practice phone number listed in the NPPES registry for Gordon Street is (207) 794-6700.
- Does Gordon Street accept Medicare?
- Gordon Street is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gordon Street's NPI active?
- Yes — Gordon Street's NPI (1184699910) is active in the NPPES registry as of the last update on 2023-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.