Active NPI
Judith Victoria Jordan, PH.D.
- Psychologist
- Lexington, MA
National Provider Identifier
1952389116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1019
- Practice address
- 114 Waltham St
Suite 17
Lexington, MA 02421-5415 - Phone
- (617) 855-2149
- Fax
- (781) 860-9592
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1019 | MA | Primary |
Addresses
Primary practice location
114 Waltham St
Suite 17
Lexington, MA 02421-5415
Mailing address
29 Barberry Rd
Lexington, MA 02421-8025
Phone (617) 855-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1019 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judith V Jordan,PH.D.,PC | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- Lexington, MA
- NPI 1063660207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952389116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BARBERRY RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024218025",
"telephone_number": "617-855-2140",
"fax_number": "781-860-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WALTHAM ST",
"address_2": "SUITE 17",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024215415",
"telephone_number": "617-855-2149",
"fax_number": "781-860-9592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JUDITH",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "1019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.