DAVID JORDAN (NPI# 1528675006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528675006 |
| Entity Type | Individual |
| Full Name | DAVID JORDAN |
| Practice Address |
1612 Genesee St Utica NY 13502-5425 |
| Practice Telephone | 3157245173 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
107004-01 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750662 | David Raymond Jordan | Physical Therapy Assistant | 301 Glenwood Pl, Siloam Springs, AR 72761 | 2018-08-20 |
| 1871022657 | David Joseph Jordan | Massage Therapist | 1903 Bataan Rd Apt 12, Redondo Beach, CA 90278-1316 | 2017-06-06 |
| 1023373016 | David Lawrence Jordan | Home Health Aide | 3799 Clark St, Capitol Heights, MD 20743-5700 | 2012-07-06 |
| 1508018615 | David Mcgrain Jordan II | Dentist | 1724 Broad Ripple Ave., Indianapolis, IN 46220 | 2008-10-21 |
| 1821205147 | David Michael Jordan | Dentist | 3727 Rosewood Dr, Columbia, SC 29205-3531 | 2007-05-17 |
| 1104956788 | David W Jordan | Chiropractor | 9707 Franklin Ave, Franklin Park, IL 60131 | 2007-03-06 |
| 1316097686 | David W Jordan | Occupational Therapist | 220 Danville Corner Rod, Auburn, ME 04210 | 2007-01-11 |
| 1144326067 | David Lee Jordan | Anesthesiology | 1420 Key Hwy Ste 400, Baltimore, MD 21230-5546 | 2006-09-16 |
| 1730143371 | David Lee Jordan | Optometrist | 2601 Jewella, Shreveport, LA 71109 | 2006-04-12 |
| 1083684559 | David Willis Jordan | Nurse Anesthetist, Certified Registered | 101 South First Street, Iola, KS 66749 | 2006-01-25 |
| Street Address |
1612 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396826384 | David G Schlaegel | Social Worker | 1612 Genesee St, Utica, NY 13502-5425 | 2006-10-18 |
| 1760035646 | Kelsey Ann Mooney | Counselor | 1612 Genesee St, Utica, NY 13502-5425 | 2019-07-19 |
| 1235696659 | Meredith Claire Salisbury | Student in an Organized Health Care Education/Training Program | 1612 Genesee St, Utica, NY 13502-5425 | 2019-02-21 |
| 1992289672 | Shelley R Wells-courter | Social Worker | 1612 Genesee St, Utica, NY 13502-5425 | 2018-09-19 |
| 1982105185 | Denise Marie Brown | Social Worker | 1612 Genesee St, Utica, NY 13502-5425 | 2018-02-22 |
| 1497114920 | Latrease R Moore | Counselor | 1612 Genesee St, Utica, NY 13502-5425 | 2016-02-11 |
| 1902292675 | Robert Christman | Psychologist | 1612 Genesee St, Utica, NY 13502-5425 | 2015-04-09 |
| 1588903454 | Samaritan Counseling Center of The Mohawk Valley, Inc | Social Worker | 1612 Genesee St, Utica, NY 13502-5425 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1417383381 | Debra P Lewis | Counselor | 8300 Hall Rd, Suite 201, Utica, MI 48317-5506 | 2013-09-23 |
| 1093092991 | Patty Brunk | Counselor | 293 Genesee St, Utica, NY 13501-3804 | 2011-11-07 |
| 1376642306 | Lisa Blanchfield | Counselor | 1402 Genesee St, Utica, NY 13502-4727 | 2006-09-22 |
| 1649377854 | Samaritan Counseling Center of The Mohawk Valley, Inc. | Counselor | 1643 Genesee St, Utica, NY 13501-4733 | 2006-09-20 |
| 1366489809 | Lynn Tomaino Csw & Associates | Counselor | 2626 Genesee St, Utica, NY 13502-6003 | 2006-06-01 |
| 1356948699 | Brenda Tobia | Counselor | 11111 Hall Rd, Utica, MI 48317-5711 | 2020-10-08 |
| 1750995213 | Danielle Erin Mcdonough | Counselor | 1427 Genesee St, Utica, NY 13501-4343 | 2020-09-02 |
| 1194388579 | Ruyn N Cavic | Counselor | 807 Newell St, Utica, NY 13502-5313 | 2019-04-21 |
| 1952876799 | Lisa Chandler | Counselor | 1400 Noyes St, Utica, NY 13502-3854 | 2018-10-08 |
| Find all providers in UTICA | ||||
Please comment or provide details below to improve the information on DAVID 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.