DR. THOMAS JORDAN


Address: 574 W End Ave, #64, New York, NY 10024-2748
Phone: 2128750154

DR. THOMAS JORDAN (NPI# 1083745905) 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) 1083745905
Entity Type Individual
Full Name DR. THOMAS JORDAN
Credential PH.D.
Practice Address 574 W End Ave
#64
New York
NY 10024-2748
Practice Telephone 2128750154
Practice Fax Number 2128750022
Mailing Telephone 2128750154
Mailing Fax Number 2128750022
Enumeration Date 2007-03-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
009162 NY Behavioral Health & Social Service Providers

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Office Location

Street Address 574 W END AVE
#64
City NEW YORK
State NY
Zip Code 10024-2748

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497162168 Marnie Malley Nurse Practitioner 574 W End Ave, Apt. 125, New York, NY 10024-2748 2014-07-15
1528190436 Victoria S. Jordan Social Worker 574 W End Ave, #64, New York, NY 10024-2748 2007-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10024

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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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