Organization Active NPI

Jordan Davis Psychological Services PLLC

  • Clinical Child & Adolescent Psychologist
  • Brooklyn, NY
National Provider Identifier
1467372771
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
JORDAN DAVIS PSYCHOLOGICAL SERVICES PLLC
Practice address
26 Court St Ste 502
Brooklyn, NY 11242-1105
Phone
(215) 469-1681
NPI assigned
Jul 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Dr. Jordan Paige Davis, PHD
Title
Director
Phone
(215) 469-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

26 Court St Ste 502
Brooklyn, NY 11242-1105

Mailing address

49 Flatbush Ave # 121
Brooklyn, NY 11217-0464
Phone (215) 469-1681

National Provider Directory

National Provider Directory

Locations

26 Court St
Ste 502
Brooklyn, NY 11242
Phone (917) 342-2680

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1467372771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FLATBUSH AVE # 121",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112170464",
            "telephone_number": "215-469-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 502",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112421105",
            "telephone_number": "215-469-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN DAVIS PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-469-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.