Individual provider Active NPI

Becky Dunza Jordan, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrison, NY
National Provider Identifier
1427288240
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401879 Issued in NY
Practice address
600 Mamaroneck Ave
Ste 400
Harrison, NY 10528-1613
Phone
(914) 315-4291
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401879 NY Primary

Addresses

Primary practice location

600 Mamaroneck Ave
Ste 400
Harrison, NY 10528-1613

Mailing address

600 Mamaroneck Ave
Ste 400
Harrison, NY 10528-1613
Phone (914) 315-4291

Other practice location 1

141 N Central Ave
c/o WJCS
Hartsdale, NY 10530-1912
Phone (914) 949-7699

Other practice location 2

1 Theall Rd
Rye, NY 10580-1404
Phone (914) 848-8030

Other practice location 3

3030 Westchester Ave
Purchase, NY 10577-2574
Phone (914) 848-8030

Other practice location 4

171 Huguenot St
New Rochelle, NY 10801-7760
Phone (914) 848-8030

Other practice location 5

1084 N Broadway
Yonkers, NY 10701-1107
Phone (914) 848-8030

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911001947 NY Practitioner - Nurse Practitioner 3274840947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14851 Jeffrey Rd
Unit 316
Irvine, CA 92618-8316

2700 Westchester Ave
Purchase, NY 10577-2547

845 N Broadway
Suite 2
White Plains, NY 10603-2427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F401879NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Becky Jordan DNP, Nurse Practitioner in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2021 Accepting new patients

Locations

600 Mamaroneck Ave
Ste 400
Harrison, NY 10528
Phone (914) 315-4291

Interoperability endpoints

  • Direct secure messaging: bejordan@hiemail.healtheconnections.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1427288240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE",
            "address_2": "STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-315-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE",
            "address_2": "STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "914-315-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 N Central Ave",
            "address_2": "c/o WJCS",
            "address_purpose": "LOCATION",
            "city": "Hartsdale",
            "state": "NY",
            "postal_code": "105301912",
            "country_code": "US",
            "telephone_number": "914-949-7699",
            "fax_number": "914-949-3224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Theall Rd",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "NY",
            "postal_code": "105801404",
            "country_code": "US",
            "telephone_number": "914-848-8030",
            "fax_number": "914-848-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Purchase",
            "state": "NY",
            "postal_code": "105772574",
            "country_code": "US",
            "telephone_number": "914-848-8030",
            "fax_number": "914-848-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Huguenot St",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108017760",
            "country_code": "US",
            "telephone_number": "914-848-8030",
            "fax_number": "914-848-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1084 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011107",
            "country_code": "US",
            "telephone_number": "914-848-8030",
            "fax_number": "914-848-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BECKY",
        "middle_name": "DUNZA",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.