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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 41449 | CA | Nursing Service Providers |
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 |
Street Address |
6950 65TH ST |
City | SACRAMENTO |
State | CA |
Zip Code | 95823-2316 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 95823 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
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. |
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 |
City | SACRAMENTO |
Zip Code | 95823 |
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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.