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

Individual provider Clinical Psychologist · NPI 1689684888

Samuel Antonio Gordon, PHD is a Clinical Psychologist in Washington, District of Columbia. Qualified in 1987, 39 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
39
Licensed in
DC
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

102 Irving St NW
Washington, DC 20010-2921 Not confirmed with CMS for 18 years — call before visiting
Phone: (202) 877-1000
Fax: (202) 291-5366
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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 PSY 1528 (DC)

Record details

NPI number1689684888
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESDecember 11, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients50
Services billed 838 a service is one billed item, such as a visit, a test or a procedure
Average patient age63

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Medstar Medical Group II LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3717 clinicians in the practice; 12 are shown here.

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