Active NPI
Jordan Laws
- Psychologist
- Crofton, MD
National Provider Identifier
1477391688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- A01014
- Practice address
- 2138 Priest Bridge CT Ste 1
Crofton, MD 21114-2463 - Phone
- (443) 584-6773
- NPI assigned
- Jul 20, 2024
- Last updated
- Jul 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | A01014 | MD | Primary |
Addresses
Primary practice location
2138 Priest Bridge CT Ste 1
Crofton, MD 21114-2463
Mailing address
100 E Redwood St
Baltimore, MD 21202-1351
Phone (336) 470-6427
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01014 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1477391688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E REDWOOD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212021351",
"telephone_number": "336-470-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 PRIEST BRIDGE CT STE 1",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142463",
"telephone_number": "443-584-6773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWS",
"first_name": "JORDAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-20",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "A01014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.