Individual provider Active NPI

Jordan Hardval, ED.S., M.ED., B.A.

  • School Psychologist
  • Cincinnati, OH
National Provider Identifier
1396130266
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
OH3151590 Issued in OH
Practice address
1040 Gaskins Rd
Cincinnati, OH 45245-2746
Phone
(513) 947-7841
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH3151590 OH Primary

Addresses

Primary practice location

1040 Gaskins Rd
Cincinnati, OH 45245-2746

Mailing address

2065 Sutton Ave
Apt 6
Cincinnati, OH 45230-1669
Phone (330) 978-9233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts, Master of Education

State licenses

LicenseStateTypeSpecialty
OH3151590OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1396130266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 SUTTON AVE",
            "address_2": "APT 6",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452301669",
            "telephone_number": "330-978-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GASKINS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452746",
            "telephone_number": "513-947-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDVAL",
        "first_name": "JORDAN",
        "credential": "ED.S., M.ED., B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3151590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.