DR. JOHN ROBERT JORDAN PH.D.
NPI 1235296377
Psychologist - Clinical in Pawtucket, RI

Q: What is John Jordan's NPI number?

The NPI number for John Jordan is 1235296377. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Q: What is John Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Jordan was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 01, 2007

10 EXCHANGE CT, UNIT 401, PAWTUCKET, RI 02860(401) 305-3051(401) 305-3051 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John Robert Jordan Ph.d. NPPES

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

DR. JOHN ROBERT JORDAN PH.D. (NPI 1235296377) is an individual clinical provider in Pawtucket, Rhode Island, licensed in Massachusetts (1936) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1235296377

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN ROBERT JORDANCredential: PH.D.

Location Address10 EXCHANGE CT, UNIT 401Pawtucket, RI 02860-2261

Mailing Address10 Exchange Ct, Unit 401Pawtucket, RI 02860-2261 · (401) 305-3051 · Fax (401) 305-3051

Phone(401) 305-3051

Fax(401) 305-3051

Sole ProprietorYes

Enumeration DateJanuary 1, 2007

Last NPPES UpdateMarch 7, 2008

✔ NPI 1235296377 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 · 1936

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.

10 EXCHANGE CT, Pawtucket, RI 02860

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Other Identifiers 1

Medicare ID-Type UnspecifiedW02078MA · Medicare-bc-bs Number

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 John Jordan's NPI number?

The NPI number for John Jordan is 1235296377. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Where is John Jordan located?

John Jordan practices at 10 Exchange Ct Unit 401, Pawtucket, RI 02860. The listed phone number is (401) 305-3051.

What is John Jordan's specialty?

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

When was this NPI record last updated?

The NPPES record for John Jordan was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.