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DR. JORDAN PAUL BACKSTROM PSY.D
NPI 1124552708
Psychologist - Clinical in Waltham, MA

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jordan Paul Backstrom Psy.d NPPES

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

DR. JORDAN PAUL BACKSTROM PSY.D (NPI 1124552708) is an individual clinical provider in Waltham, Massachusetts, licensed in Massachusetts (10520) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124552708
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JORDAN PAUL BACKSTROMCredential: PSY.D
Location Address85 1ST AVEWaltham, MA 02451-1105
Mailing Address85 1st AveWaltham, MA 02451-1105 · (781) 895-7963
Phone(781) 895-7963
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 20, 2017
✔ NPI 1124552708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 10520
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
85 1ST AVE, Waltham, MA 02451
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Paul Backstrom Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991066474
PECOS Enrollment IDI20180223002352
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. VALERIE FLORENCE WEED PSYD
Psychologist (Health)
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 895-7918
SUSAN MELANSON PAYNE
Nurse Anesthetist, Certified Registered
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 647-7246
SUSAN B HAM
Physical Therapist
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 895-7900
LEE SCOTT SILK M.D.
Pain Medicine (Interventional Pain Medicine)
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 647-7246
BOSTON PAINCARE CENTER INC
Clinic/Center (Sleep Disorder Diagnostic)
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 894-5522
NICHOLAS REESE BARNES M.D.
Pain Medicine (Interventional Pain Medicine)
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 895-7900
HANNAH POTLER NP-BC
Registered Nurse
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 647-7246
SARAH STOLLAR SMITH CRNP
Nurse Practitioner (Adult Health)
85 1ST AVE
WALTHAM, MA 02451
Middlesex County (781) 647-7246

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 Jordan Backstrom's NPI number?

The NPI number for Jordan Backstrom is 1124552708. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Jordan Backstrom located?

Jordan Backstrom practices at 85 1st Ave, Waltham, MA 02451. The listed phone number is (781) 895-7963.

What is Jordan Backstrom's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jordan Backstrom enrolled in Medicare?

Yes. Jordan Backstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Backstrom accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Jordan Backstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Backstrom was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.