Individual provider Active NPI

Jordyn Elizabeth Cavalier

  • Psychologist
  • Cranberry TWP, PA
National Provider Identifier
1679389050
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
125 Emeryville Dr Ste 230
Cranberry TWP, PA 16066-5020
Phone
(724) 609-5002
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

125 Emeryville Dr Ste 230
Cranberry TWP, PA 16066-5020

Mailing address

125 Emeryville Dr Ste 230
Cranberry TWP, PA 16066-5020
Phone (724) 609-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20250107004252 PA Practitioner - Clinical Psychologist 7214465046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Institute, LLC CurrentSince Dec 6, 2024 Accepting new patients

Locations

125 Emeryville Dr
Ste 230
Cranberry Twp, PA 16066
Phone (724) 609-5002

5 Saint Francis Way
Cranberry Twp, PA 16066
Phone (724) 772-5350

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1679389050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "724-609-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR STE 230",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160665020",
            "telephone_number": "724-609-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALIER",
        "first_name": "JORDYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

Verify at the official NPI Registry.