Sandra Hanifa Jordan, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

63010118942 Issued in MI

Practice address

2193 Association Dr Ste 100
Okemos, MI 48864-4904

Phone

(517) 349-6265

Fax

(517) 349-3755

NPI assigned

Aug 15, 2006

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Female

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

Enrolled in MI

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Integrity Counseling Services

  • Social Worker
  • Okemos, MI
  • NPI 1063742583
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1225041601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 ASSOCIATION DR STE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644904",
            "telephone_number": "517-349-6265",
            "fax_number": "517-349-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 ASSOCIATION DR STE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644904",
            "telephone_number": "517-349-6265",
            "fax_number": "517-349-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SANDRA",
        "middle_name": "HANIFA",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "63010118942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Jones
• Sydney Jones
• Thomas Jones
• Tyara Jones
• Monique Renee Jorae
• Shandel Joseph
• Joy Family Center
• Jessica Judy
• June Cooke, LMSW, LLC
• Melvin Shao Yun Jung, DMD FAAPD

• Clinical Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.