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

Dr. Athena Boolukos Gordon, EDM, PSYD

Individual provider Psychologist · NPI 1700146552

Dr. Athena Boolukos Gordon, EDM, PSYD is a Psychologist in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4201 Bayshore Blvd Unit 1603
Tampa, FL 33611-1669
Phone: (617) 784-0771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY8510 (FL)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PY8510 (FL)

Record details

NPI number1700146552
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDM , PSYD
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012

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