Individual provider Active NPI

Caleb Lee Jordan

  • Psychiatry Physician
  • Roslindale, MA
National Provider Identifier
1619361904
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T286174 Issued in MA
Practice address
1200 Centre St
Roslindale, MA 02131-1000
Phone
(617) 363-8000
Fax
(617) 363-8929
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R4249 TX
Psychiatry Physician 2084P0800X 2026-01739 NC
Psychiatry Physician 2084P0800X T286174 MA Primary
Psychiatry Physician 2084P0800X DR.0073253 CO

Addresses

Primary practice location

1200 Centre St
Roslindale, MA 02131-1000

Mailing address

1200 Centre St
Roslindale, MA 02131-1000
Phone (617) 363-8614

Other practice location 1

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone (832) 869-4818

Other practice location 2

1251 Oliver St
Fayetteville, NC 28304-4450
Phone (915) 362-7700

Other practice location 3

2620 Tenderfoot Hill St Ste 10
Colorado Springs, CO 80906-8354
Phone (318) 294-7667

Other practice location 4

2401 S 31st St
Temple, TX 76508-0001
Phone (800) 299-4463 ext. 1768

Other practice location 5

2400 Trawood Dr Ste 205
El Paso, TX 79936-4122
Phone (915) 362-7700

Other practice location 6

2400 Trawood Dr Ste 100
El Paso, TX 79936-4122
Phone (915) 362-7700

Other identifiers 1

IdentifierTypeStateIssuer
377395425MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA, TN, NY, CO, WA, CA8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20171106002287 TX Practitioner - Psychiatry 2567771249 Reassigns benefits to 4 organizations
I20210326000486 MA Practitioner - Psychiatry 2567771249 Reassigns benefits to 3 organizations
I20231002002309 TN Practitioner - Psychiatry 2567771249 Reassigns benefits to 4 organizations
I20231016001254 NY Practitioner - Psychiatry 2567771249 Reassigns benefits to 2 organizations
I20241230000855 CO Practitioner - PsychiatryPractitioner - Neuropsychiatry 2567771249 Reassigns benefits to 3 organizations
I20250325002924 WA Practitioner - Neuropsychiatry 2567771249 Reassigns benefits to 1 organization
I20251121002169 WA Practitioner - PsychiatryPractitioner - Neuropsychiatry 2567771249 Reassigns benefits to 2 organizations
I20260209001625 CA Practitioner - Psychiatry 2567771249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1303 SE Broad St
Murfreesboro, TN 37130-5652
Phone (832) 869-4818

181 Kenwood Ave
Suite 10
Oneida, NY 13421-2802
Phone 8328694818235

509 Olive Way
Suite 1259 12TH Floor
Seattle, WA 98101-1745
Phone 8328694818235

6169 S Balsam Way
Suite 320
Littleton, CO 80123-3064
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

909 Sumner St
Stoughton, MA 02072-3396
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T286174MAMDPsychiatry Physician
R4249TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Nov 1, 2025 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Jan 8, 2026 Accepting new patients
Katie's Way Tacoma, LLC Psychiatry CurrentSince Jan 11, 2025 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Oct 1, 2023 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Sep 21, 2023 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Sep 27, 2025 Accepting new patients
Jordan & Jordan Healthcare and Management Solutions, PLLC Psychiatry Current Accepting new patients
Mindcare Solutions PC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Jordan & Jordan Healthcare and Management Solutions, PLLC Psychiatry Current Accepting new patients
Jordan & Jordan Healthcare and Management Solutions Co PLLC Psychiatry Current Accepting new patients
Katies Way Anchorage LLC Psychiatry PastSince Mar 26, 2023 Accepting new patients
Katie's Way, LLC Psychiatry PastSince Aug 3, 2025 Accepting new patients
Katie's Way Fairbanks, LLC Psychiatry PastSince Jul 19, 2024 Accepting new patients

Locations (25 of 32)

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

155 N Lake Ave
Fl 8
Pasadena, CA 91101
Phone (626) 667-0935

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

5446 N Academy Blvd
Ste 102
Colorado Springs, CO 80918
Phone (719) 224-8690

1554 N Emerson St
Unit 5
Denver, CO 80218
Phone (720) 358-2862

1400 16th St
Denver, CO 80202
Phone (303) 748-5781

200 Union Blvd
Lakewood, CO 80228
Phone (303) 304-1352

6169 S Balsam Way
Ste 320
Littleton, CO 80123
Phone (303) 973-3668

300 Colonial Center Pkwy
Ofc 12
Roswell, GA 30076
Phone (833) 351-1825

10 Glenlake Pkwy
Ste 130
Sandy Springs, GA 30328
Phone (678) 230-7095

720 Poyntz Ave
Apt B
Manhattan, KS 66502
Phone (785) 320-6616

265 Franklin St
Ste 1702
Boston, MA 02110
Phone (203) 721-6500

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

181 Kenwood Ave
Ste 10
Oneida, NY 13421

4031 Aspen Grove Dr
Ste 390
Franklin, TN 37067
Phone (844) 291-4525

1001 Gallatin Ave
Nashville, TN 37206
Phone (888) 545-0139

315 Deaderick St
Ste 1550
Nashville, TN 37238
Phone (615) 554-2292

3343 Perimeter Hill Dr
Ste 214
Nashville, TN 37211
Phone (951) 440-8989

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

3500 S Interstate 35
Belton, TX 76513
Phone (254) 939-2100

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (201) 706-1143

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1619361904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311000",
            "telephone_number": "617-363-8614",
            "fax_number": "617-363-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRE ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311000",
            "telephone_number": "617-363-8000",
            "fax_number": "617-363-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7877 Willow Chase Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770705934",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 Oliver St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044450",
            "country_code": "US",
            "telephone_number": "915-362-7700",
            "fax_number": "915-362-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 Tenderfoot Hill St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809068354",
            "country_code": "US",
            "telephone_number": "318-294-7667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "800-299-4463 x1768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Trawood Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364122",
            "country_code": "US",
            "telephone_number": "915-362-7700",
            "fax_number": "915-362-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Trawood Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364122",
            "country_code": "US",
            "telephone_number": "915-362-7700",
            "fax_number": "915-362-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CALEB",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R4249",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2026-01739",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "T286174",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0073253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377395425",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

Verify at the official NPI Registry.