Jordan Hart, PH.D., L.P., LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

LP 4313 Issued in MN

Legal business name

JORDAN HART, PH.D., L.P., LLC

Practice address

615 W 35TH St
Minneapolis, MN 55408-4602

Phone

(612) 414-3540

Fax

(612) 823-8438

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Lynn Hart, PH.D., L.P.

Title

Psychologist

Phone

(612) 414-3540

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427039692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 35TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084602",
            "telephone_number": "612-414-3540",
            "fax_number": "612-823-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 35TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084602",
            "telephone_number": "612-414-3540",
            "fax_number": "612-823-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HART, PH.D., L.P., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-414-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "LP 4313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC PIN",
            "identifier": "991N8HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS HPFIN",
            "identifier": "108187",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH/MEDICA",
            "identifier": "61-33379",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois Ann Jonet, LMFT, LP
• Catherine Riedel Jons, AUD
• Krystal Choi Joo, NP
• Andrea A Joos, PT
• Karin Ann Jordahl
• Grant Thomas Jordan-Taylor
• Brett Jordan, OTR/L
• Chantel Alexus Jordan
• Editha Tingas Jordan, MSN
• Farhio Mohamud Jordan

• Adolescent and Children Mental Health Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Adolescent and Children Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.