JUDITH V JORDAN,PH.D.,PC
NPI 1063660207
Psychologist in Lexington, MA

Active since August 29, 2008
114 WALTHAM ST, SUITE 17, LEXINGTON, MA 02421(617) 855-2140(781) 860-9592 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith V Jordan,ph.d.,pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH V JORDAN,PH.D.,PC (NPI 1063660207) is a healthcare organization registered as a psychologist in Lexington, Massachusetts and active in the NPI registry since August 2008. The organization lists Judith Victoria Jordan, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1063660207
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJUDITH V JORDAN,PH.D.,PC
Location Address114 WALTHAM ST, SUITE 17Lexington, MA 02421-5415
Mailing Address114 Waltham St, Suite 17Lexington, MA 02421-5415 · (617) 855-2140 · Fax (781) 860-9592
Fax(781) 860-9592
Organization SubpartNo
Authorized OfficialJudith Victoria JordanPsychologist · (617) 855-2140
Enumeration DateAugust 29, 2008
NPI 1063660207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 1019
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
114 WALTHAM ST, Lexington, MA 02421

Other Identifiers 1

OtherW10450MA · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
114 WALTHAM ST, #17
LEXINGTON, MA 02421
Counselor (Mental Health)
114 WALTHAM ST, SUITE 10
LEXINGTON, MA 02421
Counselor (Mental Health)
114 WALTHAM ST, SUITE G2
LEXINGTON, MA 02421
Social Worker (Clinical)
114 WALTHAM ST, LEXINGTON
LEXINGTON, MA 02421
Dentist
114 WALTHAM ST
LEXINGTON, MA 02421
Dentist (General Practice)
114 WALTHAM ST
LEXINGTON, MA 02421
Marriage & Family Therapist
114 WALTHAM ST, SUITE G2
LEXINGTON, MA 02421
Social Worker (Clinical)
114 WALTHAM ST, SUITE 22
LEXINGTON, MA 02421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith V Jordan,ph.D.,pc's NPI number?

The NPI number for Judith V Jordan,ph.D.,pc is 1063660207. It was assigned to this organization in the NPPES registry on August 29, 2008.

Where is Judith V Jordan,ph.D.,pc located?

Judith V Jordan,ph.D.,pc is located at 114 Waltham St Suite 17, Lexington, MA 02421. The listed phone number is (617) 855-2140.

What is Judith V Jordan,ph.D.,pc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Judith V Jordan,ph.D.,pc was last updated on August 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.