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

Chanelle Gordon, PHD

Individual provider Clinical Psychologist · NPI 1023728896

Chanelle Gordon, PHD is a Clinical Psychologist in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2022.

Licensed in
NE
In the registry since
2022
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

14122 Manderson Plz Apt 107
Omaha, NE 68164-6296
Phone: (415) 294-0872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1006 (NE)

Record details

NPI number1023728896
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 1, 2022
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing address14122 Manderson Plz Apt 107, Omaha, NE 68164-6296

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