Chanelle Gordon, PHD - Psychologist in Omaha, NE

Chanelle Gordon, PHD is a Psychologist - Clinical based in Omaha, Nebraska. Chanelle Gordon is licensed to practice in Nebraska (license number 1006) and her current practice location is 14122 Manderson Plz Apt 107, Omaha, Nebraska. She can be reached at her office (for appointments etc.) via phone at (415) 294-0872.

NPI number for Chanelle Gordon is 1023728896 and her current mailing address is 14122 Manderson Plz Apt 107, Omaha, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023728896.

Contact Information

Chanelle Gordon, PHD
14122 Manderson Plz Apt 107,
Omaha, NE 68164-6296
(415) 294-0872
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameChanelle Gordon
GenderFemale
SpecialityPsychologist - Clinical
Location14122 Manderson Plz Apt 107, Omaha, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023728896
  • Provider Enumeration Date: 12/01/2022
  • Last Update Date: 12/01/2022

Medical Identifiers

Medical identifiers for Chanelle Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023728896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1006 (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanelle Gordon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chanelle Gordon, PHD
14122 Manderson Plz Apt 107,
Omaha, NE 68164-6296

Ph: (415) 294-0872
Chanelle Gordon, PHD
14122 Manderson Plz Apt 107,
Omaha, NE 68164-6296

Ph: (415) 294-0872

Reviews and Comments


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