Jordan Allison, PSYD
Individual provider Active NPI Clinical Psychologist · Springfield, OH
NPI 1376096842 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1376096842
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7469 (OH)
- Practice address
- 211 Northparke Dr
Springfield, OH 45503-1117 - Phone
- (937) 325-3696
- Fax
- (937) 325-3713
- NPI assigned
- Aug 1, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Matrix Integrated Psychological Services
Mercy Health Physicians Springfield Primary Care LLC
Capital Private Psychological Services
Community Mercy Health Partners
Practice addresses (Care Compare)
2 Easton Oval
Suite 450
Columbus, OH 43219-6035
Phone (614) 475-9500
211 Northparke Dr
Springfield, OH 45503-1117
Phone (937) 390-1700
722 Buckles CT N
Suite 210
Columbus, OH 43230-6923
Phone (614) 656-7025
900 Scioto St
Suite 4
Urbana, OH 43078-2251
Phone (937) 653-4666
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160914000216 | OH | Practitioner - Clinical Psychologist | 9436445657 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7469 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Integrated Psychological Services | Current |
Accepting new patients | |
| Mercy Health Physicians Springfield Primary Care LLC | Current |
Accepting new patients | |
| Capital Private Psychological Services | Current |
Accepting new patients | |
| Mercy Health Physicians Springfield Specialty Care LLC | Current |
Accepting new patients | |
| Haugland, Lamarche, and Ramage LLC | Past | Accepting new patients |
Locations
2 Easton Oval
Ste 450
Columbus, OH 43219
Phone (614) 475-9500
110 Northwoods Blvd
Ste B1
Columbus, OH 43235
Phone (614) 475-9500
722 Buckles Ct N
Ste 210
Gahanna, OH 43230
Phone (614) 656-7025
211 Northparke Dr
Springfield, OH 45503
Phone (937) 390-1700
900 Scioto St
Ste 4
Urbana, OH 43078
Phone (937) 653-4666
204 Patrick Ave
Urbana, OH 43078
Phone (937) 484-6157
900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666
Interoperability endpoints
- jallison235801@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7469 | OH | Yes |
Addresses
Primary practice location
211 Northparke Dr
Springfield, OH 45503-1117
Mailing address
211 Northparke Dr
Springfield, OH 45503-1117
Phone (937) 325-3696
Other practice location 1
204 Patrick Ave
Urbana, OH 43078-2302
Phone (937) 653-3445
Other providers in Springfield, OH
- Donna C. Allen
- Gregory Dean Allen
- Mark Franklin Allen
- Nancy Kaye Allen
- Allery & Asthma Associates
- Thomas Allore
- Ally Wellness, LLC
- Alpha Dental Springfield- Ming Yu DDS LLC
- Alternative Healing Arts,LLC
- Amazing Brain Counseling Services
All providers in Springfield, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.