Pordford, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2846 Issued in MN

Legal business name

PORDFORD, INC.

Practice address

5200 Willson Rd
Suite 309
Edina, MN 55424-1332

Phone

(952) 927-8528

Fax

(612) 929-2327

NPI assigned

Oct 26, 2007

Organization subpart

No

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

Authorized official

Name

Debbra A Ford, PSYD, LPNPI 1447219399

Title

Psychologist

Phone

(952) 927-8528

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debbra Ann Ford, LP

  • Counseling Psychologist
  • Edina, MN
  • NPI 1447219399
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1457530453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD",
            "address_2": "SUITE 309",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-927-8528",
            "fax_number": "612-929-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD",
            "address_2": "SUITE 309",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-927-8528",
            "fax_number": "612-929-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORDFORD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "DEBBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "952-927-8528",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "2846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410281",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaina Marie Polk, RN
• Virginia Pollen, DPT
• Nancy J Poole, CNP
• Joyce Popp, L.P.
• Melanie Belleau Popp, CCC-A
• Portable Diagnostic Imaging, Inc.
• Portable Diagnostic Imaging, Inc.
• Jean L Porter, MD
• Katherine Porter
• Lisa A Posey, MD

• Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.