Jordan Lindh, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP6052 Issued in MN

Practice address

900 Long Lake Rd
Suite 320
New Brighton, MN 55112-6428

Phone

(651) 442-5673

NPI assigned

Sep 14, 2013

Sex

Male

Sole proprietor

Yes

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 MN

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

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Arden Woods Psychological Services PAGroup PAC ID 3173429214, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Arden Woods Psychological Services PA

  • Clinical Psychologist
  • New Brighton, MN
  • NPI 1669576278
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1902232549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD",
            "address_2": "SUITE 320",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126428",
            "telephone_number": "651-442-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD",
            "address_2": "SUITE 320",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126428",
            "telephone_number": "651-442-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDH",
        "first_name": "JORDAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-14",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP6052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ting Li, PH.D., L.P.
• Wendy Li
• Lifewell Health LLC
• Buddy Wayne Lile, M.D.
• Tucker Lindberg, MSN, APNP, PMHNP-BC
• Lionheart Building & Consultants LLC
• Daniel Joel Lippert, LADC
• Living Spirit Therapy Services, LLC
• Julie Ljung
• Shirell Denise Locke

• Clinical Psychologist in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.