What is Jaclyn Gordon's NPI number?

Jaclyn Gordon's National Provider Identifier (NPI) is 1285487504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jaclyn Gordon's specialty?

Jaclyn Gordon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Jaclyn Gordon located?

Jaclyn Gordon's practice location on file with NPPES is 42 Illinois Ave, Long Beach, NY 11561-1112.

What is Jaclyn Gordon's phone number?

The practice phone number listed in the NPPES registry for Jaclyn Gordon is (347) 559-5694.

Is Jaclyn Gordon's NPI active?

Yes — Jaclyn Gordon's NPI (1285487504) is active in the NPPES registry as of the last update on 2025-01-20.

IndividualActive

Jaclyn Gordon, PSY.D.

NPI 1285487504 · Clinical Psychologist · Long Beach, NY

Jaclyn Gordon, PSY.D. is a Clinical Psychologist provider in Long Beach, NY (NPI 1285487504).

Provider details

NPI number: 1285487504
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PSY.D.
Sex: Female
Sole proprietor: Yes
License: 026039 (NY)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 026039 (NY)
Behavioral Health & Social Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

42 Illinois Ave

Long Beach, NY 11561-1112

Phone: (347) 559-5694

Street-level locationGet directions

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Mailing address