Linda Mary Jordan-Parker, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003041 Issued in CT

Practice address

11 Brace Rd
Somers, CT 06071-1420

Phone

(860) 819-1088

Fax

(855) 949-3706

NPI assigned

Apr 10, 2012

Last updated

Oct 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• State of Connecticut

  dba Capitol Region Mental Health Center

  • Psychiatric Hospital
  • Hartford, CT
  • NPI 1487689022
  Medicare reassignment NPD
• State of Connecticut

  dba Department of Veterans' Affairs, Veterans Home

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1093071490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRACE RD",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711420",
            "telephone_number": "860-819-1088",
            "fax_number": "855-949-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BRACE RD",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711420",
            "telephone_number": "860-819-1088",
            "fax_number": "855-949-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN-PARKER",
        "first_name": "LINDA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "003041",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill V. Haga, MSW, LPC
• Shawna Lynne Harmon, D.D.S.
• John Roger Haserick Jr., DDS
• Stacey Susienka Hayward, APRN
• James P. Fitzgerald
• Emily Kingsbury, COTA/L
• Chatchai Kokar, MD
• Kacie Lachapelle, PHD
• Melissa Lemiech, PA-C
• Mark Joseph Levesque, LMT

• Psychologist in Somers, CT
• Providers in Somers, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.