MEGAN GORDON
Licensed Psychiatric Technician

Address: 327 College Ave, Santa Rosa, CA 95401-5117

MEGAN GORDON (NPI# 1003459181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003459181
Entity Type Individual
Full Name MEGAN GORDON
Gender Female
Practice Address 327 College Ave
Santa Rosa
CA 95401-5117
Practice Telephone 7075682800
Mailing Address 2390 Donna Maria Way
Santa Rosa
CA 95401-5789
Mailing Telephone 7076962725
Enumeration Date 2019-10-22
Last Update Date 2019-10-22
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 167G00000X Licensed Psychiatric Technician PT22049 CA Nursing Service Providers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1295214773 Megan Gordon Behavior Technician 6116 Horton Dr, La Mesa, CA 91942 2018-08-07
1417360306 Megan Gordon · Megan Schultz Pharmacist 2651 Macarthur Rd, Whitehall, PA 18052-3818 2014-06-09
1528670510 Megan Gordon Physical Therapist 2750 Newark Granville Rd, Granville, OH 43023-9142 2020-08-20

Office Location

Street Address 327 COLLEGE AVE
City SANTA ROSA
State CA
Zip Code 95401-5117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689234684 Sheila Kirven Case Manager/Care Coordinator 327 College Ave, Santa Rosa, CA 95401-5117 2019-06-20
1386814887 Cheryl A Pabros Licensed Vocational Nurse 327 College Ave, Santa Rosa, CA 95401-5117 2008-03-11
1770076705 Kimberly Marcy Counselor - Mental Health 327 College Ave, Santa Rosa, CA 95401-5117 2018-06-13
1457999286 Irma Martinez Licensed Psychiatric Technician 327 College Ave, Santa Rosa, CA 95401-5117 2019-12-11
1770020695 Aundray Rogers Counselor - Mental Health 327 College Ave, Santa Rosa, CA 95401-5117 2017-01-30
1154806263 Alison Van De Hei Social Worker - Clinical 327 College Ave, Santa Rosa, CA 95401 2018-09-25
1194029371 Denise Black Licensed Psychiatric Technician 327 College Ave, Santa Rosa, CA 95401-5117 2011-01-03
1902444664 Hailey Jean Mason Community Health Worker 327 College Ave, Santa Rosa, CA 95401-5117 2019-12-12
1518553973 Shannon Andrea Lowell Counselor 327 College Ave, Santa Rosa, CA 95401-5117 2020-12-18
1447783691 Shawna Bell Counselor - Mental Health 327 College Ave, Santa Rosa, CA 95401-5117 2017-04-05
Find all in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508297045 Sandy Gabriel Dentist 301 College Ave, Santa Rosa, CA 95401-5117 2013-12-10
1588725253 Phillip Michael Grob Psychiatry & Neurology - Geriatric Psychiatry 339 College Ave, Santa Rosa, CA 95401-5117 2006-12-13
1144321787 Wendy Ann Thayer Acupuncturist 343 College Ave, Santa Rosa, CA 95401-5117 2006-09-26
1306926522 Robyn Erika Seiden Acupuncturist 343 College Ave, Santa Rosa, CA 95401-5117 2006-10-16
1164575775 Avrom Lefkowitz Marriage & Family Therapist 337 College Ave, Santa Rosa, CA 95401-5117 2007-01-18
1912250192 Jason Meader O'Brien Dentist 301 College Ave, Santa Rosa, CA 95401-5117 2012-10-24
1285809376 Levi White Massage Therapist 337 College Ave, Santa Rosa, CA 95401-5117 2008-04-29
1083863708 Aleae T. Pennette Chiropractor 349 College Ave, Santa Rosa, CA 95401-5117 2008-09-17
1154928745 Andrea Malin Dentist - General Practice 301 College Ave, Santa Rosa, CA 95401-5117 2020-10-06
1215532379 Telecare Corporation Clinic/Center - Mental Health (Including Community Mental Health Center) 327b College Ave, Santa Rosa, CA 95401-5117 2020-12-04
Find all in zip 95401-5117

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1295158426 Melissa Rose Nelson Counselor - Addiction (Substance Use Disorder) 1901 Cleveland Avenue #b, Santa Rosa Treatment Program, Santa Rosa, CA 95401 2014-01-23
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1003206293 Paul Cesar Gonzalez Hernandez Counselor - Addiction (Substance Use Disorder) 1207 Cleveland Ave., Santa Rosa, CA 95401 2015-01-27
1003396151 Lisa Carter Counselor - Mental Health 534 B St, Santa Rosa, CA 95401 2018-08-17
1144649518 Ann Parsons Marriage & Family Therapist 320 Tenth St., Suite 306, Santa Rosa, CA 95401 2014-04-14
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1043631500 Kelly Going Licensed Vocational Nurse 1901 Cleveland Avenue, #b, Santa Rosa Treatment Program, Santa Rosa, CA 95401 2013-12-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
Find all in zip 95401

Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184171134 Ibrahim Keita Licensed Psychiatric Technician 2148 Slater St, Santa Rosa, CA 95404-2428 2016-09-07
1306246889 Yazmin Ruiz Licensed Psychiatric Technician 1901 Cleveland Avenue, Suite B, Santa Rosa Treatment Program, Santa Rosa, CA 95403 2014-09-03
1558975169 Nebiyou Almaw Amshalu Licensed Psychiatric Technician 327 College Ave, Santa Rosa, CA 95401-5117 2020-09-01
1457999286 Irma Martinez Licensed Psychiatric Technician 327 College Ave, Santa Rosa, CA 95401-5117 2019-12-11
1063977460 Gardner Carlson Licensed Psychiatric Technician 2225 Challenger Way, Santa Rosa, CA 95407-5441 2019-02-10
1285185819 Bruce Black Licensed Psychiatric Technician 2225 Challenger Way, Santa Rosa, CA 95407 2016-10-19
1477926194 Andrea Yvonne Quintana I Licensed Psychiatric Technician 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 2015-11-03
1851644371 Amanda Johanna Menary · Amanda Johanna Aaron Licensed Psychiatric Technician 1901 Cleveland Ave, Santa Rosa, CA 95401-4282 2012-10-22
1194029371 Denise Black Licensed Psychiatric Technician 327 College Ave, Santa Rosa, CA 95401-5117 2011-01-03
1679892939 Linda Marie Bertolini Licensed Psychiatric Technician 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 2010-05-26
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95401

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1174116818 Jessica Gordon Gordon Thompson Registered Nurse 7915 Tanbier Dr, Orlando, FL 32818-8746 2021-02-13
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1003412172 Megan Ruseskas · Megan Brady Pharmacist 702 Sans Souci Pkwy, Hanover Township, PA 18706-1331 2020-12-04
1043801574 Megan Finch · Megan Vant Counselor - Addiction (Substance Use Disorder) 25 Harmony Dr, Jacksonville, IL 62650-1078 2021-01-27
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1144407883 Megan E Munsey · Megan E Mallory Nurse Anesthetist, Certified Registered 1000 Mar Walt Drive, Fort Walton, FL 32547 2008-01-24
1942881859 Megan Kramer · Megan Bratland Audiologist 2848 2nd St S Ste 185, Saint Cloud, MN 56301-3708 2021-04-21
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1043811235 Megan Shipper · Megan Thompson Pharmacist 359 N Lexington Springmill Rd, Ontario, OH 44906-3808 2020-11-04

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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