JUDITH V JORDAN,PH.D.,PC (NPI# 1063660207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063660207 |
| Entity Type | Organization |
| Organization Name | JUDITH V JORDAN,PH.D.,PC |
| Practice Address |
114 Waltham St Suite 17 Lexington MA 02421-5415 |
| Practice Telephone | 6178552140 |
| Practice Fax Number | 7818609592 |
| Mailing Telephone | 6178552140 |
| Mailing Fax Number | 7818609592 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | DR. JUDITH VICTORIA JORDAN (PSYCHOLOGIST) |
| Authorized Official Telephone | 6178552140 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1019 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | W10450 | 01 |
| Street Address |
114 WALTHAM ST SUITE 17 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389116 | Judith Victoria Jordan | Psychologist | 114 Waltham St, Suite 17, Lexington, MA 02421-5415 | 2006-01-06 |
| 1588020556 | Glynn Physical Therapy LLC | Clinic/Center | 114 Waltham St, Suite G4, Lexington, MA 02421-5415 | 2016-01-06 |
| 1952600827 | Center for Life Solutions, Inc. | Social Worker | 114 Waltham St, Suite 21, Lexington, MA 02421-5415 | 2011-03-17 |
| 1659571446 | Donna M Fagan-sturniolo | Technician/Technologist | 114 Waltham St, G-3, Lexington, MA 02421-5415 | 2007-07-20 |
| 1982819967 | Paul Eugene Glynn | Physical Therapist | 114 Waltham St, Suite G4, Lexington, MA 02421-5415 | 2007-05-11 |
| 1447478037 | Ann Marie Demeranville | Dentist | 114 Waltham St, Lexington, MA 02421-5415 | 2007-04-22 |
| 1730303926 | John F Ryan | Dentist | 114 Waltham St, Lexington, MA 02421-5415 | 2007-04-12 |
| 1376683177 | M. Carole Drago | Social Worker | 114 Waltham St, Lexington, Lexington, MA 02421-5415 | 2007-02-08 |
| 1346398476 | Susan K Harrington | Counselor | 114 Waltham St, Suite G2, Lexington, MA 02421-5415 | 2007-01-08 |
| 1164591210 | Barbara Lorrie Caust | Counselor | 114 Waltham St, Suite 10, Lexington, MA 02421-5415 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714138 | Theresa Marie Nowak | Psychologist | 233 Larch Ln, Lexington, KY 40511-2006 | 2020-06-11 |
| 1801430525 | Higher Horizons Pllc | Psychologist | 1500 Leestown Rd Ste 332, Lexington, KY 40511-1981 | 2019-11-06 |
| 1093209371 | Linda Kilner | Psychologist | 855 Emerson Gardens Rd, Lexington, MA 02420-2614 | 2018-06-19 |
| 1013409705 | Marianne Daisy Farkas | Psychologist | 18 Kendall Rd, Lexington, MA 02421-7143 | 2018-05-30 |
| 1255822243 | Judith Teicholz | Psychologist | 34 Barberry Rd, Lexington, MA 02421-8032 | 2018-05-24 |
| 1780184283 | Christina Marie Boelter Jordan | Psychologist | University of Kentucky Counseling Center Frazee Hall, Lexington, KY 40506-0001 | 2018-02-20 |
| 1245765254 | David Hague | Psychologist | 334 Glendover Rd, Lexington, KY 40503-2011 | 2017-04-27 |
| 1851776280 | Psychological Services and Support of The Bluegrass | Psychologist | 151 Prosperous Pl Ste 1b, Lexington, KY 40509-2180 | 2015-07-28 |
| 1144636150 | Judith Campbell | Psychologist | 625 Sayre Ave, Lexington, KY 40508-2317 | 2014-07-10 |
| 1841618402 | Tabitha Burkhart-wilson | Psychologist | 3125 Timberneck Cv, Lexington, KY 40509-8539 | 2014-04-01 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on JUDITH V JORDAN,PH.D.,PC.
| 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.