THERESA ANN JORDAN


Address: 6950 65th St, Sacramento, CA 95823-2316
Phone: 9163931222

THERESA ANN JORDAN (NPI# 1023659182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023659182
Entity Type Individual
Full Name THERESA ANN JORDAN
Credential LPT41449
Practice Address 6950 65th St
Sacramento
CA 95823-2316
Mailing Address 530 Eastbrook Cir
Sacramento
CA 95835-1348
Practice Telephone 9163931222
Practice Fax Number 9163934512
Mailing Telephone 9163358641
Enumeration Date 2019-09-30
Last Update Date 2019-09-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 41449 CA Nursing Service Providers

Other Providers THERESA JORDAN

NPI Name Taxonomy Address Enumeration
1245839026 Theresa Jordan Case Manager/Care Coordinator 1513 Line Ave, Suite 225, Shreveport, LA 71109 2020-10-22
1275187080 Theresa Elizabeth Jordan Counselor 1120 E Main St, Norman, OK 73071-5300 2019-07-30
1235648973 Theresa Charlene Jordan Registered Nurse 635 W College St, Florence, AL 35630-5313 2017-09-26
1508240912 Theresa Jordan Psychologist 410 University Pkwy, Aiken Counseling Group,410 University Pkwy, Suite 2300, Aiken, SC 29801-6810 2015-07-15
1366614505 Theresa Jordan Audiologist 6035 Fairview Rd, Charlotte, NC 28210-3256 2008-03-27
1588799910 Theresa Midkiff Jordan Registered Nurse 154 Blountville Bypass, Blountville, TN 37617-0630 2007-02-23

Office Location

Street Address 6950 65TH ST
City SACRAMENTO
State CA
Zip Code 95823-2316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679643365 Turning Point Community Programs Community/Behavioral Health 6950 65th St, Sacramento, CA 95823-2316 2006-11-09
1700483211 Matthew August Mcclelland Counselor 6950 65th St, Sacramento, CA 95823-2316 2020-10-07
1821645953 Jasvinder Singh Licensed Vocational Nurse 6950 65th St, Sacramento, CA 95823-2316 2019-08-22
1255987178 Nicole A Bonner Licensed Vocational Nurse 6950 65th St, Sacramento, CA 95823-2316 2019-08-15
1457905366 Edgar Lopez -sanchez Case Manager/Care Coordinator 6950 65th St, Sacramento, CA 95823-2316 2019-07-29
1750935664 Juliet A Anaro Counselor 6950 65th St, Sacramento, CA 95823-2316 2019-07-29
1407408479 Ehimwenma Joyce Ogbebor Counselor 6950 65th St, Sacramento, CA 95823-2316 2019-07-10
1699337600 Adelina Herrera Case Manager/Care Coordinator 6950 65th St, Sacramento, CA 95823-2316 2019-07-01
1962064899 Diane Allyne Maroon Case Manager/Care Coordinator 6950 65th St, Sacramento, CA 95823-2316 2019-07-01
1992367908 Ashley Breana Henry Case Manager/Care Coordinator 6950 65th St, Sacramento, CA 95823-2316 2019-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396343422 Renee Yvonne Friesner Registered Nurse 6965 65th Street, Sacramento, CA 95823 2020-10-12
1790392165 Amanda Moore Technician 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 2020-09-29
1114562766 Daniel & Max, LLC Optometrist 4200 Florin Road, Suite C, Florin, CA 95823 2019-11-07
1396393823 Lannon Hope Gustafson Counselor 8573 E Southgate Dr., Sacramento, CA 95823 2019-08-28
1932768280 Sprenger Behavioral Medicine, Inc Psychiatry & Neurology 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 2019-06-11
1306316880 Evin Johnson Case Manager/Care Coordinator 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 2018-11-28
1902373095 Alexandra L Bourcy Family Medicine 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 2018-10-27
1891298923 Nicholas Joseph Henderson Behavior Technician 6500 47th Street Apt#76, Sacramento, CA 95823 2018-03-15
1427567098 Luz Maria Udave Behavior Technician 5435 Mack Rd Apt 87, Sacramento, CA 95823 2017-09-26
1417474743 Elizabeth Smithers Behavior Technician 5545 Sky Parkway #202, Sacramento, CA 95823 2017-08-28
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245374966 Kathy Mary Simms Licensed Psychiatric Technician 6615 Valley Hi Dr # A, Sacramento, CA 95823-4601 2007-02-16
1609972223 Sallyann Smith Licensed Psychiatric Technician 9337 Heathfield Way, Sacramento, CA 95829-6081 2006-09-15
1811090723 Elizabeth Ann Hayes Licensed Psychiatric Technician 811 Grand Ave Suite D, Sacramento, CA 95822-3466 2006-09-06
1275644718 Levi Aaron Combs Licensed Psychiatric Technician 2045 W El Camino Ave Apt 455, Sacramento, CA 95833-1481 2006-08-31
1558384321 Joseph Warren Gibbs Licensed Psychiatric Technician 8036 Center Pkwy, Sacramento, CA 95823-5243 2006-07-25
1356940159 Hadia N Khalil Licensed Psychiatric Technician 401 S St, Sacramento, CA 95811-6919 2020-10-22
1316557465 Bintu Sia Sorie Licensed Psychiatric Technician 4612 Roosevelt Ave, Sacramento, CA 95820-4520 2020-08-04
1770119893 Crystal D Washington Licensed Psychiatric Technician 1103 N B St Ste E, Sacramento, CA 95811-0326 2020-03-20
1396394490 Princess Jarrell Licensed Psychiatric Technician 3815 Marconi Ave, Sacramento, CA 95821-3867 2019-09-10
1699258392 Odubanke Yewande Mcgaugh Licensed Psychiatric Technician 4612 Roosevelt Ave, Sacramento, CA 95820-4520 2018-09-10
Find all providers in SACRAMENTO

Competitor

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City SACRAMENTO
Zip Code 95823

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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