Jordan Witt, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15545 Issued in CA

Practice address

1531 Chapala St
Suite 2
Santa Barbara, CA 93101-3060

Phone

(805) 564-1763

NPI assigned

Jul 11, 2006

Last updated

Mar 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jordan Witt, PH.D. Psychologist, Inc.

  • Psychologist
  • Santa Barbara, CA
  • NPI 1558946038
  NPD Authorized official
• Jennifer Miners, LCSW

  • Clinical Social Worker
  • Santa Barbara, CA
  • NPI 1235767468
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1063447118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 CHAPALA ST",
            "address_2": "SUITE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013060",
            "telephone_number": "805-564-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 CHAPALA ST",
            "address_2": "SUITE 2",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013060",
            "telephone_number": "805-564-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "JORDAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Esther Withers, M.D.
• Alex Withrow, OTD, OTR/L, CNS
• Jenna Withrow, PA-C
• Stanley Jan Witnov, PH.D.
• Carly Witt, RN
• Keith Walter Witt, PH.D.
• Christel J. Wittenstein, M.D.
• Paula Wiwuga, OTR L
• Rachael Ann Wojcik, FNP
• Mark Wolf

• Clinical Psychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.