Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Gordon, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1831074186

Amanda Gordon, PHD is a Clinical Psychologist in Bloomington, Minnesota. Qualified in 2024, 2 years ago. Practices with Fraser Child and Family Center, a 55-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1801 American Blvd E Ste 1
Bloomington, MN 55425-1230
Phone: (612) 767-7222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence LP7283 (MN)

Record details

NPI number1831074186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025
Mailing address1801 American Blvd E, Bloomington, MN 55425-1232

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fraser Child And Family Center — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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