Individual provider Active NPI

Jordan Macksoud Dann

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1659907756
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
001071 Issued in NY
Practice address
352 7TH Ave FL 12a
New York, NY 10001-5893
Phone
(970) 618-2256
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 001071 NY Primary

Addresses

Primary practice location

352 7TH Ave FL 12a
New York, NY 10001-5893

Mailing address

352 7TH Ave FL 12a
New York, NY 10001-5893
Phone (970) 618-2256

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.jordandann.com Direct

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

LicenseStateTypeSpecialty
001071NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Dann, Psychoanalyst, P.C. Psychoanalyst Current Accepting new patients

Locations

352 7th Ave
Fl 12A
New York, NY 10001
Phone (212) 547-9853

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1659907756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 7TH AVE FL 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015893",
            "telephone_number": "970-618-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE FL 12A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015893",
            "telephone_number": "970-618-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANN",
        "first_name": "JORDAN",
        "middle_name": "MACKSOUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "001071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.jordandann.com",
            "affiliation": "N",
            "endpointDescription": "personal website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "352 7th Ave Fl 12A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100015893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.