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

Lisa Gordon

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437969466

Lisa Gordon is a Nurse Practitioner in Detroit, Michigan. Qualified in 2024, 2 years ago. Practices with Team Mental Health Services Inc, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
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Practice location Address checks out

3646 Mount Elliott St
Detroit, MI 48207-2311
Phone: (313) 626-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15212 Salem Ct, Redford, MI 48239-3441 — (248) 325-7435

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704351548 (MI)

Record details

NPI number1437969466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Team Mental Health Services Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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