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

Dr. Elsie Managbanag Gordon, PHD

Individual provider Clinical Psychologist · NPI 1003875246

Dr. Elsie Managbanag Gordon, PHD is a Clinical Psychologist in Gaithersburg, Maryland. Qualified in 1997, 29 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
29
Licensed in
MD
In the registry since
2006
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

13-15 E Deer Park Dr Ste 103D
Gaithersburg, MD 20877-2082
Phone: (240) 686-6885
Fax: (240) 686-6886
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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 04451 (MD)

Record details

NPI number1003875246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 17, 2006
Last updated in NPPESOctober 6, 2023
Certification dateOctober 5, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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