Organization Active NPI

Jordan Psychological Services, LLC

  • Clinical Psychologist
  • Catonsville, MD
National Provider Identifier
1043196496
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JORDAN PSYCHOLOGICAL SERVICES, LLC
Practice address
5707 Calverton St Ste 1C
Catonsville, MD 21228-1780
Phone
(410) 747-7991
Fax
(410) 747-5188
NPI assigned
Aug 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Jordan, PH.D.NPI 1619000346
Title
Clinical Psychologist
Phone
(410) 747-7991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5707 Calverton St Ste 1C
Catonsville, MD 21228-1780

Mailing address

5707 Calverton St Ste 1C
Catonsville, MD 21228-1780
Phone (410) 747-7991

National Provider Directory

National Provider Directory

Locations

5707 Calverton St
Ste 1C
Catonsville, MD 21228
Phone (410) 747-7991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1043196496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 CALVERTON ST STE 1C",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281780",
            "telephone_number": "410-747-7991",
            "fax_number": "410-747-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 CALVERTON ST STE 1C",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281780",
            "telephone_number": "410-747-7991",
            "fax_number": "410-747-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-747-7991",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.