DR. JORDAN HARRISON (NPI# 1609490234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609490234 |
| Entity Type | Individual |
| Full Name | DR. JORDAN HARRISON |
| Credential | PSYD |
| Practice Address |
2395 Oak Valley Dr Ste 100 Ann Arbor MI 48103-9118 |
| Mailing Address |
220 Old Cedarfield Dr Blacksburg VA 24060-6419 |
| Practice Telephone | 7349955181 |
| Mailing Telephone | 5137026688 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301018412 | MI | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810005570 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246785 | Jordan Harrison | Behavior Technician | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-07-01 |
| 1851811806 | Jordan Daniel Harrison | Optometrist | 2829 E Oakland Ave Ste 1, Johnson City, TN 37601-1908 | 2017-06-21 |
| 1295289783 | Jordan Nicole Harrison | Physical Therapist | 16985 Nw Cornell Rd Ste 110, Beaverton, OR 97006-5639 | 2016-08-12 |
| 1295078442 | Jordan Harrison | Internal Medicine | 1265 S Broadway, Denver, CO 80210-1503 | 2013-04-05 |
| Street Address |
2395 OAK VALLEY DR STE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48103-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033233838 | Anthony John Wolf | Psychiatry & Neurology | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-8943 | 2007-03-19 |
| 1467915686 | Oscar M Alcaine | Psychologist | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2019-04-14 |
| 1720586597 | Chamisa Mackenzie, Lmsw, LLC | Clinic/Center | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2018-01-26 |
| 1265812762 | Wolf Psychological Services, Pllc | Psychologist | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2015-06-01 |
| 1730202599 | Philip Andrew Cornell Saragoza | Psychiatry & Neurology | 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839343 | Melissa Sylvia Danan Rilko | Social Worker | 1775 Timber Trail, Ann Arbor, MI 48103 | 2020-04-16 |
| 1427602929 | Ashwini Gulwadi, Pllc | Psychiatry & Neurology | 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 | 2019-08-01 |
| 1225593155 | Brent Aaron Reeve | Chiropractor | 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 | 2019-02-05 |
| 1548746779 | Loren Camano Shkolnik | Registered Nurse | 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 | 2018-07-11 |
| 1982193256 | Jacob B Nienhuis | Psychologist | 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 | 2018-05-02 |
| 1053818633 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 | 2018-04-10 |
| 1376052647 | Shivika Verma | Dentist | 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 | 2017-09-29 |
| 1881118206 | Harrison Udensi Igwe | Clinic/Center | 522 South Maple Stree, Ann Arbor, MI 48103 | 2017-07-27 |
| 1841727641 | Kathleen Murphy | Psychologist | 4141 Woodland Drive, Ann Arbor, MI 48103 | 2017-05-11 |
| 1972037133 | Jonathan Broek | Dietitian, Registered | 2920 Lakeview Dr, Ann Arbor, MI 48103 | 2017-04-14 |
| Find all providers in zip 48103 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925685 | Davia Steinberg Ogg, Ph.d., LLC | Psychologist | 300 N 5th Ave Ste 200, Ann Arbor, MI 48104-1447 | 2020-09-01 |
| 1730798794 | Joshua Kay | Psychologist | 308 Arbana Dr, Ann Arbor, MI 48103-3706 | 2020-07-27 |
| 1295344216 | Aaron Sedlar | Psychologist | 2500 Packard St Ste 104a, Ann Arbor, MI 48104-6827 | 2020-07-27 |
| 1992320071 | Gohar Psychological Services, Pllc | Psychologist | 321 S Main St Ste 212, Ann Arbor, MI 48104-2128 | 2020-06-15 |
| 1578187688 | Richard Reinsmith | Psychologist | 1420 Iroquois Pl, Ann Arbor, MI 48104-4638 | 2020-06-04 |
| 1063991594 | Abadi Psychology, Pllc | Psychologist | 2350 Washtenaw Ave Ste 7, Ann Arbor, MI 48104-4525 | 2018-08-07 |
| 1982196523 | Karen Gottschalk Psychotherapy | Psychologist | 2350 Washtenaw Ave Ste 7g, Ann Arbor, MI 48104-4532 | 2018-05-30 |
| 1386133973 | Judy Seldin Psychotherapy, Plc | Psychologist | 2350 Washtenaw Ave Ste 7e, Ann Arbor, MI 48104-4532 | 2018-05-09 |
| 1356839351 | Adam Lafave | Psychologist | 3830 Packard St Ste 280, Ann Arbor, MI 48108-2276 | 2018-04-25 |
| 1841797941 | Integrated Counseling LLC | Psychologist | 2311 E Stadium Blvd Ste B5, Ann Arbor, MI 48104-4803 | 2018-04-06 |
| Find all providers in ANN ARBOR | ||||
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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.