AMANDA S JORDAN (NPI# 1194270884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194270884 |
| Entity Type | Individual |
| Full Name | AMANDA S JORDAN |
| Credential | PSYD |
| Practice Address |
901 7th Ave Ste 2100 Fort Worth TX 76104-2722 |
| Mailing Address |
Po Box 99213 Fort Worth TX 76199-0213 |
| Practice Telephone | 6828851480 |
| Practice Fax Number | 6828853600 |
| Mailing Telephone | 6828854871 |
| Mailing Fax Number | 6828853936 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 37404 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222327 | Amanda Jordan | Counselor | 112 Eston Dr, Goose Creek, SC 29445-7131 | 2020-07-22 |
| 1710044474 | Amanda T. Jordan | Nurse Practitioner | 114 E Presley Blvd, Mccomb, MS 39648-5908 | 2007-01-02 |
| 1861961161 | Amanda Jordan | Behavior Technician | 1613 Prospect Pkwy Ste 110, Fort Collins, CO 80525-9707 | 2018-11-15 |
| 1275014326 | Amanda Michelle Jordan | Occupational Therapist | 720 E Romie Ln, Salinas, CA 93901-4208 | 2018-08-27 |
| 1104332238 | Amanda Jordan | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2017-12-27 |
| 1114433091 | Amanda Rose Jordan | Dental Hygienist | 19 Pettingill St, Lewiston, ME 04240-5903 | 2017-12-14 |
| 1730612524 | Amanda Grady Jordan | Behavioral Analyst | 1107 Alverser Dr, Midlothian, VA 23113-2655 | 2017-04-07 |
| 1003280843 | Amanda Jordan | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2015-11-17 |
| 1770969412 | Amanda Jordan | Nurse Practitioner | 333 S Madison St, Muncie, IN 47305-2465 | 2015-08-05 |
| 1528446135 | Amanda Lorien Jordan | Chiropractor | 103 Charwood Dr, Abingdon, VA 24210-2476 | 2015-05-14 |
| Street Address |
901 7TH AVE STE 2100 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098815 | Michelle C Marcincuk | Otolaryngology | 901 7th Ave, Fort Worth, TX 76104-2722 | 2005-07-31 |
| 1437628666 | Andrew Hammond | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2018-11-16 |
| 1326529769 | Harrison Howard | Physician Assistant | 901 7th Ave, Fort Worth, TX 76104-2722 | 2018-08-23 |
| 1487133559 | Annick Uwimana | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2018-08-09 |
| 1164941027 | Whitney C Dragon | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2017-09-12 |
| 1922557255 | Latasha S Baker | Nurse Practitioner | 901 7th Ave, Fort Worth, TX 76104-2722 | 2016-09-28 |
| 1942753140 | Matthew Reed | Social Worker | 901 7th Ave, Ste 2200, Fort Worth, TX 76104-2722 | 2016-07-25 |
| 1114370426 | Chris J Gilbert | Counselor | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2016-07-21 |
| 1366813453 | Corey Heath | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2015-10-14 |
| 1588083471 | Erin Hyken | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2014-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1306481205 | Luma Psychology Pllc | Psychologist | 2201 Dottie Lynn Pkwy Ste 127, Fort Worth, TX 76120-4435 | 2019-11-14 |
| 1710484985 | Jordana Elyse Mortimer | Psychologist | 1208 W Magnolia Ave Ste 234, Fort Worth, TX 76104-8801 | 2018-04-12 |
| 1255848750 | William Travis Gardner | Psychologist | 4436 Robertson Rd, Fort Worth, TX 76135-9438 | 2018-01-05 |
| 1760895130 | Mark Schmidt | Psychologist | 6308 Ferncreek Ln, Fort Worth, TX 76179-4701 | 2014-06-03 |
| 1891113676 | Lisa Hensley | Psychologist | 4415 Morris Ct, Fort Worth, TX 76103-3226 | 2014-03-31 |
| 1265781454 | Elizabeth O Oriola-otenaike | Psychologist | 6620 Trinity Heights Blvd, Fort Worth, TX 76132-3578 | 2012-09-03 |
| 1780950436 | Carol Lacey Richardson | Psychologist | 4316 Lake Stone Trl, Fort Worth, TX 76123-8009 | 2012-03-27 |
| 1477834133 | Larry Wayne Carter II | Psychologist | 6100 Western Pl Ste 908, Fort Worth, TX 76107-4600 | 2011-09-07 |
| 1639358385 | Beatrix Wagner | Psychologist | 6300 John Ryan Dr, Fort Worth, TX 76132-4122 | 2007-10-30 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.