Active NPI
Barney Jordan, PHD
- Psychologist
- Wilmington, MA
National Provider Identifier
1568577484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6921
- Practice address
- 5 Middlesex Ave
Suite 11 Wilmington Family Counseling Service Inc
Wilmington, MA 01887 - Phone
- (978) 658-9889
- Fax
- (978) 658-5695
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6921 | MA | Primary |
Addresses
Primary practice location
5 Middlesex Ave
Suite 11 Wilmington Family Counseling Service Inc
Wilmington, MA 01887
Mailing address
One Arnold Circle
Suite 3
Cambridge, MA 02139
Phone (617) 661-2800
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6921 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Family Counseling Service Inc | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, MA
- NPI 1922043447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568577484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE ARNOLD CIRCLE",
"address_2": "SUITE 3",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-661-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MIDDLESEX AVE",
"address_2": "SUITE 11 WILMINGTON FAMILY COUNSELING SERVICE INC",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "01887",
"telephone_number": "978-658-9889",
"fax_number": "978-658-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BARNEY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.