Jennifer M Jordan, PSYD is a
Psychologist - Clinical based in Hermosa Beach, California. Jennifer M Jordan is licensed to practice in California (license number PSY26915) and her current practice location is
2200 Pacific Coast Hwy, Suite 209, Hermosa Beach, California. She can be reached at her office (for appointments etc.) via phone at
(310) 698-2185.
NPI number for Jennifer M Jordan is 1316252513 and her current mailing address is 2200 Pacific Coast Hwy, Suite 209, Hermosa Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316252513.
Healthcare Provider's Profile
| Full Name | Jennifer M Jordan |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2200 Pacific Coast Hwy, Hermosa Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316252513
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 06/20/2018
Medical Identifiers
Medical identifiers for Jennifer M Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316252513 | NPI | - | NPPES |
| PSY26915 | Other | CA | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY26915 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer M Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jennifer M Jordan, PSYD
2200 Pacific Coast Hwy, Suite 209,
Hermosa Beach, CA 90254-2757
Ph: (310) 698-2185 | Jennifer M Jordan, PSYD
2200 Pacific Coast Hwy, Suite 209,
Hermosa Beach, CA 90254-2757
Ph: (310) 698-2185 |
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