DR. WILLIAM TRAVIS JORDAN (NPI# 1245668516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245668516 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM TRAVIS JORDAN |
| Credential | LCP |
| Practice Address |
4037 Taylor Rd Ste C Chesapeake VA 23321-5500 |
| Practice Telephone | 7576093677 |
| Practice Fax Number | 7572994214 |
| Mailing Telephone | (757) 609-3677 |
| Mailing Fax Number | 7572994214 |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004861 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 321 N Main St, Suffolk, VA 234344422 | 7576093677 | 7572994214 |
| 2050 Hillpoint Blvd N, Suffolk, VA 234347181 | 7579838650 | 7572994214 |
| 638 Independence Pkwy Ste 240, Chesapeake, VA 233205222 | 7576093677 | 7572994214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267862 | William Eriksen Jordan | Counselor | 2812 Drake Ave Sw, Huntsville, AL 35805-5122 | 2020-05-19 |
| 1437349420 | William Jefferson Jordan | Orthopaedic Surgery | 17450 St Lukes Way Ste 390, The Woodlands, TX 77384 | 2007-07-26 |
| 1346373214 | William Vascoe Jordan IIi | Dentist | 3501 Town Center Blvd S, Sugar Land, TX 77479-1285 | 2007-03-13 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1720099518 | William C Jordan | Counselor | 613 Pelham Rd S Ste 2, Jacksonville, AL 36265-2771 | 2006-08-10 |
| 1366474678 | William Jordan | Dentist | 18789 Sw Boones Ferry Rd, Ste 4, Tualatin, OR 97062-8412 | 2006-07-07 |
| 1497744932 | William Luke Jordan | Obstetrics & Gynecology | 12900 W.9 Mile Road, Oak Park, MI 48237 | 2005-10-18 |
| 1275940462 | William Jordan | Pharmacist | 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | 2014-07-19 |
| 1508197880 | William George Jordan IIi | Physical Therapist | 815 Freeport Rd, Pittsburgh, PA 15215-3301 | 2010-01-26 |
| Street Address |
4037 TAYLOR RD STE C |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356745673 | Behavioral Health Navigators Inc. | Psychologist | 4037 Taylor Rd Ste C, Chesapeake, VA 23321-5500 | 2014-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158931 | Elissa Lea Jarvis | Psychologist | 2010 Old Greenbrier Rd Ste J, Chesapeake, VA 23320-2619 | 2019-01-21 |
| 1598217200 | Megan Merlock Gliniecki | Psychologist | 527 Las Gaviotas Blvd, Chesapeake, VA 23322-8044 | 2016-10-28 |
| 1972988020 | Mary Faye Fields | Psychologist | 400 Tranquility Trce, Chesapeake, VA 23320-4015 | 2015-07-29 |
| 1245622638 | In Faith Psychological Services, LLC | Psychologist | 1508 Sams Cir, Pmb 138, Chesapeake, VA 23320-4589 | 2015-02-23 |
| 1962681288 | Gregory Lee Asgaard | Psychologist | 105 Gateway Ct, Apt. # 209, Chesapeake, VA 23320-5076 | 2007-11-02 |
| 1336366061 | William L Mulligan Phd PC | Psychologist | 1403 Greenbrier Pkwy Ste 215, Chesapeake, VA 23320-0608 | 2007-04-20 |
| 1861531824 | Erynne Hart Shatto | Psychologist | 2616 Taylor Rd Ste B, Chesapeake, VA 23321-2247 | 2007-02-06 |
| 1902994262 | Stephen Carl Ganderson | Psychologist | 505 Cedar Rd, Suite B-1, Chesapeake, VA 23322-5585 | 2006-10-11 |
| 1851352496 | James F. Lassiter | Psychologist | 2006 Old Greenbrier Road, Suite 12, Chesapeake, VA 23320-2648 | 2006-03-31 |
| 1699743203 | Michael S Weissman | Psychologist | 3210 Churchland Blvd, Suite 4, Chesapeake, VA 23321-5253 | 2006-03-09 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on DR. WILLIAM TRAVIS JORDAN.
| 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.