Jordana Elyse Mortimer, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36926 Issued in TX

Practice address

1208 W Magnolia Ave Ste 234
Fort Worth, TX 76104-8801

Phone

(817) 989-6312

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1710484985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 CHURCH PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336856",
            "telephone_number": "817-845-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W MAGNOLIA AVE STE 234",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761048801",
            "telephone_number": "817-989-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "JORDANA",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "70174",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julee S. Morrow, M.D.
• Kellie Morrow
• Sarah A. Morrow, ACNPC-AG
• Sarah Katherine Morrow, CRNM
• William Pender Morrow, DDS, MS
• Morton Medical Management, PLLC
• Briana Nichole Morton, LPC
• Dan Alan Morton, M.D.
• Gary C Morton, D.D.S.
• Hannah Morton

• Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.