Lisa C. Jordan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

03876 Issued in MD

Practice address

583 Frederick Rd
Suite 5a
Catonsville, MD 21228-4697

Phone

(410) 747-7991

Fax

(410) 747-5188

NPI assigned

Mar 13, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anxiety and Stress Disorders Institute of MarylandGroup PAC ID 1850341215, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Anxiety and Stress Disorders Institute of Maryland

  • Professional Counselor
  • Towson, MD
  • NPI 1154422731
  Medicare reassignment Care Compare group NPD
• Jordan Psychological Services, LLC

  • Clinical Psychologist
  • Catonsville, MD
  • NPI 1043196496
  NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619000346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 FREDERICK RD",
            "address_2": "SUITE 5A",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284697",
            "telephone_number": "410-747-7991",
            "fax_number": "410-747-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 FREDERICK RD",
            "address_2": "SUITE 5A",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284697",
            "telephone_number": "410-747-7991",
            "fax_number": "410-747-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LISA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "618358-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "100093259001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Christina Jones
• Sandra Janine Jones, PA-C
• Jook Medical Consult Inc
• Jordan Psychological Services, LLC
• Brittany Jordan
• Tadelech Jore
• Kaushalendra Joshi
• Journey Mindfulness, LLC
• Jovina Health and Wellness Center LLC
• Jovina Health and Wellness Center LLC

• Clinical Psychologist in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.