Derrick Gordon, PH.D.
NPI 1730690835 · Clinical Psychologist · New Haven, CT
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Gordon, PH.D. is a Clinical Psychologist provider in New Haven, CT (NPI 1730690835).
Provider details
- NPI number
- 1730690835
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 003297 (CT)
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
8 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
- 2017-10-16
- Last updated
- 2017-10-16
Frequently asked questions
- What is Derrick Gordon's NPI number?
- Derrick Gordon's National Provider Identifier (NPI) is 1730690835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Gordon's specialty?
- Derrick Gordon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Derrick Gordon located?
- Derrick Gordon's practice location on file with NPPES is 389 Whitney Ave, New Haven, CT 06511-2301.
- What is Derrick Gordon's phone number?
- The practice phone number listed in the NPPES registry for Derrick Gordon is (203) 789-7645.
- Does Derrick Gordon accept Medicare?
- Derrick Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derrick Gordon's NPI active?
- Yes — Derrick Gordon's NPI (1730690835) is active in the NPPES registry as of the last update on 2017-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.