DR. JORDAN WILSON (NPI# 1578073821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578073821 |
| Entity Type | Individual |
| Full Name | DR. JORDAN WILSON |
| Credential | PSYD |
| Practice Address |
8140 Ashton Ave Suite 200 Manassas VA 20109 |
| Mailing Address |
301 W Broad St Falls Church VA 22046-3335 |
| Practice Telephone | 7033309933 |
| Mailing Telephone | 7577842454 |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2017-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005701 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962914341 | Jordan Wilson | Dietitian, Registered | 2075 E Flamingo Rd -southmagna, Room242, Las Vegas, NV 89119-5188 | 2017-10-25 |
| 1265951610 | Jordan Elisabeth Wilson | Behavior Technician | 1114 Main St Apt A, Danville, VA 24541-2954 | 2017-09-18 |
| 1568060879 | Jordan Leigh Wilson | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-10-09 |
| 1962041095 | Jordan Wilson | Case Manager/Care Coordinator | 3800 Watt Ave, Sacramento, CA 95821-2670 | 2020-01-07 |
| 1235775263 | Jordan Wilson | Pharmacist | 8745 S Emerson Ave, Indianapolis, IN 46237-9400 | 2019-11-25 |
| 1609346030 | Jordan Wilson | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2018-11-28 |
| 1508344037 | Jordan Wood Wilson | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030 | 2018-08-06 |
| 1235651720 | Jordan Wilson | Physician Assistant | 2428 W Reynolds Ave, Centralia, WA 98531 | 2017-07-17 |
| 1710295951 | Jordan Nicole Wilson | Physical Therapy Assistant | 111 E Washington St, Bensenville, IL 60106-2674 | 2010-09-22 |
| Street Address |
8140 ASHTON AVE SUITE 200 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760462071 | James Michael Lynch | Psychologist | 8140 Ashton Ave, Ste 100, Manassas, VA 20109-5698 | 2006-01-20 |
| 1053886937 | Melanie Corum | Psychologist | 8140 Ashton Ave, Manassas, VA 20109-5698 | 2018-10-08 |
| 1699212126 | Neuropsychology of Northern Virginia | Psychologist | 8140 Ashton Ave, Suite 100, Manassas, VA 20109-5698 | 2017-01-23 |
| 1114479318 | April Lynn Thompson | Social Worker | 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 | 2016-11-04 |
| 1235598186 | Jessica S Holm | Psychologist | 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 | 2016-02-21 |
| 1972961837 | Megan Lyons Strause | Psychologist | 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 | 2016-02-08 |
| 1386046340 | Adrienne Mcdonald | Counselor | 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 | 2014-09-22 |
| 1396163218 | Naoji Andrew Watson | Psychologist | 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 | 2014-03-29 |
| 1831520717 | Carol Mccleary | Psychologist | 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 | 2013-12-03 |
| 1891128799 | Alicia K Janik | Psychologist | 8140 Ashton Ave, 200, Manassas, VA 20109-5698 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154622934 | Patrice A. Alvarado | Psychologist | 9246b Mosby St, Manassas, VA 20110-5038 | 2010-11-09 |
| 1184842932 | Jeannine Marie Alfano-gohman | Psychologist | 8811 Sudley Rd Ste 211, Manassas, VA 20110-4750 | 2007-04-24 |
| 1215940648 | Holly Drewer Erwin | Psychologist | 9625 Surveyor Ct Ste 200, Manassas, VA 20110-4408 | 2006-08-15 |
| 1124641725 | Patrice A. Alvarado, Phd LLC | Psychologist | 9246b Mosby St, Manassas, VA 20110-5038 | 2020-05-19 |
| 1053886937 | Melanie Corum | Psychologist | 8140 Ashton Ave, Manassas, VA 20109-5698 | 2018-10-08 |
| 1780166405 | Rebekah Franks | Psychologist | 8420 Dorsey Cir Ste 201, Manassas, VA 20110-8300 | 2018-08-29 |
| 1699212126 | Neuropsychology of Northern Virginia | Psychologist | 8140 Ashton Ave, Suite 100, Manassas, VA 20109-5698 | 2017-01-23 |
| 1033570197 | Counseling Bliss | Psychologist | 9246b Mosby St, Manassas, VA 20110-5038 | 2016-03-16 |
| 1396163218 | Naoji Andrew Watson | Psychologist | 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 | 2014-03-29 |
| 1841616448 | Rebekah Angle | Psychologist | 8420 Dorsey Cir, Suite 201, Manassas, VA 20110-8300 | 2014-03-07 |
| Find all providers in MANASSAS | ||||
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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.