JORDAN PETERSON


Address: 500 South Navajo Drive, Page, AZ 86040
Phone: 9286084100

JORDAN PETERSON (NPI# 1851847578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851847578
Entity Type Individual
Full Name JORDAN PETERSON
Practice Address 500 South Navajo Drive
Page
AZ 86040
Mailing Address Po Box 1927
Page
AZ 86040-1927
Practice Telephone 9286084100
Enumeration Date 2016-09-01
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
4109734 AZ Behavioral Health & Social Service Providers

Other Providers JORDAN PETERSON

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1114538170 Jordan B Peterson Physical Therapist 3835 Supreme Ct Nw Ste 2, Bemidji, MN 56601-4485 2020-08-13
1306454079 Jordan Marie Peterson Pharmacist 737 W 12th St, Grafton, ND 58237-2117 2020-07-20
1124650171 Jordan Peterson Student in an Organized Health Care Education/Training Program 509 University Dr, Eau Claire, WI 54701 2020-02-07
1003457466 Jordan Matthew Peterson Chiropractor 103 N 1st St, Elma, WA 98541-9854 2019-10-07
1588129423 Jordan Peterson Physician Assistant 1010 4th St Sw Ste 105, Mason City, IA 50401-2856 2019-02-05
1407396476 Jordan Peterson Counselor 22505 Woodroe Ave, Hayward, CA 94541-3410 2017-02-24
1609325828 Jordan Peterson Specialist 13923 S Haystack Peak Cir, Riverton, UT 84096-6453 2016-09-28
1306228366 Jordan Dane Peterson Internal Medicine 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 2015-06-25
1861767469 Jordan Anne Peterson Nurse Anesthetist, Certified Registered 12634 Olive Blvd, Saint Louis, MO 63141-6337 2012-03-14

Office Location

Street Address 500 SOUTH NAVAJO DRIVE
City PAGE
State AZ
Zip Code 86040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487988556 Faith Mooney Psychologist 500 South Navajo Drive, Page, AZ 86040 2009-09-23
1750778361 Brittany Lynn Harrison Specialist/Technologist 500 South Navajo Drive, Page, AZ 86040 2015-04-21
1942541404 Brendyce Monae Budd Specialist/Technologist 500 South Navajo Drive, Page, AZ 86040 2013-03-08
1972885267 Gerald Etsitty Psychologist 500 South Navajo Drive, Page, AZ 86040 2011-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881251437 Amy Jean Snell Nurse Practitioner 501 N. Navajo Dr., Page, AZ 86040 2019-05-20
1740748441 Cameron Sidney Shick Pharmacist 501 N Navajo Drive, Page, AZ 86040 2019-03-12
1891250338 Samantha Elizabeth Cannavo Specialist/Technologist 1801 N Navajo Dr., Page, AZ 86040 2019-02-08
1023593282 Sally Ann Breen Nurse Practitioner 440 N Navajo Drive, Page, AZ 86040 2018-10-03
1114447653 Naquita Ahern Physical Therapist 501 N Navajo Rd, Page, AZ 86040 2017-06-26
1396270443 Peter Richard Jones Physical Therapy Assistant 43 Sixth Ave, Page, AZ 86040 2017-04-26
1407392590 Lake Powell Dental Center, PC Dentist 436 Vista Avenue, Box 1956, Page, AZ 86040 2017-01-12
1992257695 Theodore Martin Physical Therapist 39 6th Avenue, Page, AZ 86040 2016-10-28
1750833539 Jacqueline Joyce Muthanga Kigundu Nurse Practitioner 440 North Navajo Dr, Page, AZ 86040 2016-10-27
1821540899 George Wertz Physical Therapist 39 6th Ave, Page, AZ 86040 2016-10-26
Find all providers in zip 86040

Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487988556 Faith Mooney Psychologist 500 South Navajo Drive, Page, AZ 86040 2009-09-23
1972885267 Gerald Etsitty Psychologist 500 South Navajo Drive, Page, AZ 86040 2011-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053912691 Jane Ann Petschow Psychologist 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 2020-11-02
1225635154 Shannon Napelee Psychologist 9405 N 53rd Dr, Glendale, AZ 85302-3305 2020-10-04
1922616929 Latisha Kareem Ojuriye Psychologist 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 2020-07-16
1689299133 Chloe Arns Psychologist 16484 N 68th Ave, Peoria, AZ 85382-3981 2020-06-10
1710522487 Aubri Hall Psychologist 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 2019-11-16
1659927242 Kristin Lee Carbone-kebble Psychologist 480 Mate Ln, Lake Havasu City, AZ 86406-6201 2019-08-10
1841843067 Rebecca Harmon Psychologist 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 2019-07-17
1922589126 Lisa M Browne Psychologist 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 2018-08-24
1336637321 Rebecca Simonson Psychologist 6200 E San Bernardino, Tucson, AZ 85715-3037 2018-04-25
1053826545 Angela Coyle Psychologist 4841 W Lone Dove Dr, Marana, AZ 85658-4735 2017-12-06
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City PAGE
Zip Code 86040

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Dataset Information

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.

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