Jordan Otto, MA, ED.S
Individual provider Active NPI School Psychologist · Washington, DC
NPI 1992471429 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1992471429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- DC5894675568 (DC)
- Practice address
- 1405 Brentwood Pkwy NE
Washington, DC 20002-2220 - Phone
- (202) 678-2527
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC5894675568 | DC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Virginia State Board of Health | Past |
Accepting new patients | |
| James Madison University | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| School Psychologist | 103TS0200X | DC5894675568 | DC | Yes |
Addresses
Primary practice location
1405 Brentwood Pkwy NE
Washington, DC 20002-2220
Mailing address
416B Nicholson St
Charlottesville, VA 22901-3778
Other providers in Washington, DC
- Kaye A Otten
- Laura Ottenritter
- Eric Albert Ottesen
- Christine Ottley
- David William Otto
- Nicole Otto
- Katherine Marie Ottolini
- Tajudeen Olatokunbo Ottun
- Kimberly Kaye Ottwell
- Oritsetsemaye Otubu
All providers in Washington, DC · School Psychologist in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.