Jordan Beth Doehner, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R230485 Issued in MD

Practice address

828 Dulaney Valley Rd
Ste 12
Towson, MD 21204-2822

Phone

(410) 343-9869

NPI assigned

Oct 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Resilient Psychiatry, LLCGroup PAC ID 1759793441, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Resilient Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Luthvle Timon, MD
  • NPI 1508472226
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1881311991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 EDGEMOOR RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933403",
            "telephone_number": "443-540-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 DULANEY VALLEY RD",
            "address_2": "STE 12",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042822",
            "telephone_number": "410-343-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEHNER",
        "first_name": "JORDAN",
        "middle_name": "BETH",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Alana Dixon, M.D.
• Rosalind Dizard
• Patricia Djoko
• Angela Kerry Dobrzykowski, MS, RD, CSP, LDN
• Dexter Dodd, MS, MDIV, BA,
• Rachel Doherty, CCC-SLP
• Kathleen Dolan, CCC-A
• Andris Lyann Dominicci Torres, MD
• Samuel Miguel Dona, M.D.
• Donald B. Lurie, DDS,P.a.

• Psychiatric/Mental Health Nurse Practitioner in Towson, MD
• Providers in Towson, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.