ELIZABETH JORDAN MD PLLC (NPI# 1780049239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780049239 |
| Entity Type | Organization |
| Organization Name | ELIZABETH JORDAN MD PLLC |
| Practice Address |
2825 Eastlake Ave E Suite 120 Seattle WA 98102-3062 |
| Practice Telephone | 2066379101 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | ELIZABETH JORDAN (PSYCHIATRIST) |
| Authorized Official Telephone | 2066379101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MD60494572 | WA | Ambulatory Health Care Facilities |
| Street Address |
2825 EASTLAKE AVE E SUITE 120 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98102-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881651313 | Ben Manfai Chue | Internal Medicine | 2825 Eastlake Ave E, Suite 200, Seattle, WA 98102-3062 | 2006-04-27 |
| 1124482435 | Chris Brubaker, LLC | Clinic/Center | 2825 Eastlake Ave E, Suite 120, Seattle, WA 98102-3062 | 2016-04-12 |
| 1861783078 | Elizabeth Anne Jordan | Psychiatry & Neurology | 2825 Eastlake Ave E, Suite 120, Seattle, WA 98102-3062 | 2011-04-21 |
| 1942511936 | Christopher John Brubaker | Psychiatry & Neurology | 2825 Eastlake Ave E, Suite 120, Seattle, WA 98102-3062 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1548745250 | Lara Lucia | Counselor | 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 | 2018-09-27 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1700382488 | Sophie Marie Bjorkquist | Counselor | 431 Boylston Ave E Apt 101, Seattle, WA 98102 | 2018-04-02 |
| 1609309533 | Lola Mudgistratova | Student in an Organized Health Care Education/Training Program | 2339 Boylston Ave W, #2, Seattle, WA 98102 | 2017-04-07 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| 1912369638 | Kyle M. Forrest | Counselor | 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 | 2016-03-22 |
| 1215311642 | Seattle Therapy Services LLC | Occupational Therapist | 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 | 2015-07-15 |
| 1134509458 | Broadway Dental Center, Inc. | Clinic/Center | 310 Harvard Ave. E., Seattle, WA 98102 | 2015-06-02 |
| 1871970343 | Deborah J. Patterson | Counselor | 2366 Eastlake Ave. E., #423, Seattle, WA 98102 | 2015-05-04 |
| Find all providers in zip 98102 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1265917520 | Lily Ewing Counseling, LLC | Clinic/Center | 11625 Rainier Ave S Ste 201, Seattle, WA 98178-3983 | 2018-10-02 |
| 1235633322 | Goodness & Grief Counseling, Pllc | Clinic/Center | 108 S Jackson St Ste 203, Seattle, WA 98104-2883 | 2018-03-22 |
| 1356761654 | Dominique Walmsley | Clinic/Center | 2329 N 62nd St, Seattle, WA 98103-5722 | 2014-04-25 |
| 1720419716 | University of Washington | Clinic/Center | 3935 University Way Ne, Box 355915, Seattle, WA 98195-5915 | 2013-12-02 |
| 1174143762 | Seattle Compassionate Counseling, Pllc | Clinic/Center | 1417 Nw 54th St Ste 438, Seattle, WA 98107-3561 | 2020-04-23 |
| 1801436480 | Megan Wagoner Psyd Pllc | Clinic/Center | 4860 Rainier Ave S Ste C, Seattle, WA 98118-6305 | 2020-01-10 |
| Find all providers in SEATTLE | ||||
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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.