Samuel Antonio Gordon
PH.D. | Clinical Psychologist | 39+ years Exp
102 Irving St Nw, Washington
District Of Columbia, 20010-2921
202-877-1000 202-291-5366
Maps & DirectionsSamuel Antonio Gordon is a Washington, District Of Columbia based psychologist with 39 years of experience in Clinical Psychology. He completed his graduation in 1987. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samuel Antonio Gordon is PSY 1528 for Clinical Psychology in District Of Columbia. His current practice location is 102 Irving St Nw, Washington. Patients can reach him at 202-877-1000 or can fax him at 202-291-5366. Samuel Antonio Gordon is PH.D. in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1689684888.
Samuel Antonio Gordon is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Samuel Antonio Gordon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Samuel Antonio Gordon |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PH.D. |
| Experience: | 39+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1987 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 102 Irving St Nw, Washington,
District Of Columbia, 20010-2921 |
| Phone: | 202-877-1000 |
| Fax: | 202-291-5366 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4385892389 |
| Enrollment ID: | I20120917000729 |
| NPI Number: | 1689684888 |
| NPI Enumeration Date: | 09 Aug, 2006 |
| NPI Last Update On: | 11 Dec, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Antonio Gordon are as mentioned below.
| License Number | Specialization | State | Status | |
| PSY 1528 | Clinical Psychology | District Of Columbia | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (210056) | Baltimore, MD | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Samuel Antonio Gordon is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Medstar Medical Group Ii Llc (0547413825) | 1366 |
| Medstar Medical Group Ii Llc (0547413825) | 1366 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Samuel Antonio Gordon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 247626 | Other | | MAMSI |
| 5681292 | Other | | AETNA NON HMO |
| DC 2528584 | Other | | AETNA HMO |
| 103645 | Other | | KAISER |
| SMD 3839272 | Other | | AETNA HMO |
| H360-0004 | Other | | BS NCA |
| 512762 | Other | | NCPPO |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Samuel Antonio Gordon
102 Irving St Nw,
Washington, District Of Columbia |
| Zip: | 20010-2921 |
| Phone Number: | 202-877-1000 |
| Fax Number: | 202-291-5366 |
Patients can reach Samuel Antonio Gordon at
102 Irving St Nw, Washington, District Of Columbia or can
call to book an appointment on 202-877-1000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.