Active NPI
Donala Kale Jordan
- Psychologist
- El Dorado, AR
National Provider Identifier
1972874584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 17-12ARPL
- Practice address
- 715 N College Ave
El Dorado, AR 71730-4403 - Phone
- (870) 862-7921
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- 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 | 17-12ARPL | AR | Primary |
Addresses
Primary practice location
715 N College Ave
El Dorado, AR 71730-4403
Mailing address
715 N College Ave
El Dorado, AR 71730-4403
Phone (870) 862-7921
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-12ARPL | AR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972874584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N COLLEGE AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304403",
"telephone_number": "870-862-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N COLLEGE AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304403",
"telephone_number": "870-862-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "DONALA",
"middle_name": "KALE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AR",
"license": "17-12ARPL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.