Jordan D Alexander
Individual provider Active NPI Psychologist · Bangor, ME
NPI 1669397105 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1669397105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 35 State Hospital Dr
Bangor, ME 04401-8816 - Phone
- (877) 421-8263
- NPI assigned
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
35 State Hospital Dr
Bangor, ME 04401-8816
Mailing address
184 Forest Ave Apt 1
Bangor, ME 04401-4186
Phone (818) 297-9002
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.