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Desiree Gordon, CP

Clinical Psychologist · Santa Clara

NPI 1255683561

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
4
1 carrier
Office
1

Offices

1 location · Sud Specialty Group - CA · 519 clinicians in this group

Looking this up.

Plans that list them

4 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Desiree Gordon’s office at (866) 280-0260 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Basic Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)Kaiser PermanenteListedSep 1, 2026

State licence records

1 licence

  • Illinois 178003764Licensed Professional Counselor · since 2005 · expires 2017-03-31
    Not RenewedNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Professional record

NPI
1255683561
Licence
CA PSY28775, CA RA897812, IL 178.003764, IL 17815Illinois 178003764: Not Renewed
Gender
Female
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 103TC0700X (103TC0700X); Federal specialty code 101YA0400X (101YA0400X); Federal specialty code 101YP2500X (101YP2500X); Federal specialty code 103TA0400X (103TA0400X)
Mailing address
2370 W Cleveland Ave # 108-320, Madera, CA, 93637
NPI first listed
2012-10-10
NPI last updated
2024-02-21
NPI record certified
2024-02-21

This is when the NPI record was last certified, not a medical board exam.