Jordan P Ditri

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3810 Rosin CT Ste 180
Sacramento, CA 95834-1656

Phone

(916) 283-8280

NPI assigned

Oct 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Turning Point Community Programs - PSH

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1114054475
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1841660651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341656",
            "telephone_number": "916-283-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341656",
            "telephone_number": "916-283-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6950 65th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232316",
            "country_code": "US",
            "telephone_number": "916-393-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3870 Rosin Ct Ste 145",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341620",
            "country_code": "US",
            "telephone_number": "916-283-8280 x3054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITRI",
        "first_name": "JORDAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Nicolette Dispensa
• Krystine Ann Distler
• Ditomasso Dental
• Ditomasso Dental
• Pamela Ann Ditomasso, DMD
• Traci Lee Ditri
• Kimberly Micheal Dittberner
• Divine Mama Doula LLC
• Divine Medical Transportation LLC
• Amanda Nugent Divine, M.S., LMFT

• Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.