JORDAN CONSTANCE (NPI# 1467909671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467909671 |
| Entity Type | Individual |
| Full Name | JORDAN CONSTANCE |
| Credential | MA |
| Practice Address |
30 Warren St Boston MA 02135-3602 |
| Practice Telephone | 6172543800 |
| Mailing Telephone | 6172543800 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TH0004X |
Psychologist Specialization: Health |
Behavioral Health & Social Service Providers |
| Street Address |
30 WARREN ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02135-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721798 | Nancy Tran | Occupational Therapist | 30 Warren St, Boston, MA 02135-3602 | 2019-07-09 |
| 1952878399 | Anne Hannan | Social Worker | 30 Warren St, Boston, MA 02135-3602 | 2018-10-24 |
| 1265911390 | Lauren Sterlin | Physical Therapist | 30 Warren St, Boston, MA 02135-3602 | 2018-08-09 |
| 1104345073 | Kathleen S Holte | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2017-09-12 |
| 1972022077 | Megan Ahnen | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2017-09-11 |
| 1801314463 | Katherine Jordan | Counselor | 30 Warren St, Boston, MA 02135 | 2017-09-05 |
| 1134646334 | Sarah Williams | Occupational Therapist | 30 Warren St, Boston, MA 02135-3602 | 2017-08-28 |
| 1972972081 | Olivia Tosi | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2015-09-18 |
| 1033585898 | Marcela Teresa Donat | Physical Therapist | 30 Warren St, Boston, MA 02135-3602 | 2015-08-17 |
| 1013338979 | Asiya Baksh | Occupational Therapist | 30 Warren St, Boston, MA 02135-3602 | 2013-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043557135 | Kelly Jean Lowery | Psychologist | 89 Revere St, Boston, MA 02114-4407 | 2013-01-09 |
| 1023256336 | Maria Carmel Gurucharri | Psychologist | 90 Warren Ave, Mckinley Elementary, Boston, MA 02116 | 2009-01-23 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1366098741 | Heather E Potts | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-08-12 |
| 1255999710 | Julia Kerins Carmody | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-05-30 |
| 1831686252 | Janet Lynn George | Psychologist | 500 Harrison Ave, Boston, MA 02118-2439 | 2018-04-20 |
| 1093233645 | Ashley Danielle Cameron | Psychologist | 30 Warren Street, Boston, MA 02135 | 2017-09-05 |
| 1376061929 | Lauren Bangert | Psychologist | 30 Warren Street, Boston, MA 02135 | 2017-09-05 |
| 1588100226 | Katherine Sanchez | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-01-18 |
| 1023567161 | Kerry Mcgregor | Psychologist | 333 Longwood Ave, Boston, MA 02115-5711 | 2016-09-30 |
| Find all providers in BOSTON | ||||
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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.