Jordania Psychiatry LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

ME126750 Issued in FL

Legal business name

JORDANIA PSYCHIATRY LLC

Practice address

25111 Pennyroyal Dr
Bonita Springs, FL 34134

Phone

(630) 740-8375

NPI assigned

Sep 14, 2016

Last updated

Sep 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nina Jordania, MDNPI 1164428074

Title

Onwer/Physician

Phone

(630) 740-8375

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nina T Jordania, MD

  • Psychiatry Physician
  • Fort Myers, FL
  • NPI 1164428074
  Authorized official Same address or phone

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1366990830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25111 PENNYROYAL DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "630-740-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 PENNYROYAL DR",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34134",
            "telephone_number": "630-740-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDANIA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "JORDANIA",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "ONWER/PHYSICIAN",
        "authorized_official_telephone_number": "630-740-8375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "ME126750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatjana Jobsky
• Debra Johnson, M.ED.
• James Thomas Johnson, CRNA
• Paige Johnson, RPH
• Joint Replacement Institute LLC
• Jorge L Serra MD PA
• Jorge R Guzman MD PA
• Sarika Joshi, BCBA
• Kathleen D Jouvenaz Cour, CRNA
• Joy of Balance, LLC

• Adult Mental Health Clinic/Center in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.