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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255683561

Dr. Desiree Martineay Gordon, PSYD is a Clinical Psychologist in Madera, California. Qualified in 2012, 14 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
14
Licensed in
CA, IL
In the registry since
2012
Specialties on file
4
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

2370 W Cleveland Ave # 108-320
Madera, CA 93637-8742
Phone: (559) 777-9439
Fax: (559) 416-7091
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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 PSY28775 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence RA897812 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 178.003764 (IL)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 17815 (IL)

Record details

NPI number1255683561
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 10, 2012
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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