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MR. JEFF ALAN SORDAHL JR. PSY.D.
NPI 1316241417
Clinical Neuropsychologist in Meridian, ID

Active since January 04, 2011PECOS EnrolledAccepts Medicare Assignment
2463 E GALA ST STE 100, MERIDIAN, ID 83642(208) 955-7333(208) 955-7330 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Jeff Alan Sordahl Jr. Psy.d. NPPES

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

MR. JEFF ALAN SORDAHL JR. PSY.D. (NPI 1316241417) is an individual clinical neuropsychologist in Meridian, Idaho, licensed in Idaho (PSY202763) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boise, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1316241417
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameMR. JEFF ALAN SORDAHL JR.Credential: PSY.D.
Location Address2463 E GALA ST STE 100Meridian, ID 83642-5210
Mailing Address444 W Fort St Fl 2Boise, ID 83702-4535 · (208) 422-1018
Phone(208) 955-7333
Fax(208) 955-7330
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 4, 2011
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1316241417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in ID · PSY202763
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
2463 E GALA ST STE 100, Meridian, ID 83642
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Secondary Practice Location 1

Location 1444 W Fort St Fl 2Boise, ID 83702-4535 · Phone (208) 422-1018

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Mr. Jeff Alan Sordahl Jr. 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 ID3577917673
PECOS Enrollment IDI20230922002751
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.

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.

JESSICA MARIE BAIRD LMHCA
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
DR. SUZANNA JOLENE WATERS PHD
Psychologist (Clinical)
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
MEADOW MARIE CLERICO M.A.
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7339
LINDSAY FRAME CLEARY
Student in an Organized Health Care Education/Training Program
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
JASLEEN KAUR
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-8106
FABIOLA SAUCEDO MENDEZ
Social Worker (Clinical)
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333
MR. CLAYTON LYNN SMITH LMSW
Social Worker (Clinical)
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 201-9367
JOSHUA LEE BESS II
Psychologist
2463 E GALA ST STE 100
MERIDIAN, ID 83642
Ada County (208) 955-7333

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 Jeff Sordahl's NPI number?

The NPI number for Jeff Sordahl is 1316241417. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Jeff Sordahl located?

Jeff Sordahl practices at 2463 E Gala St Ste 100, Meridian, ID 83642. The listed phone number is (208) 955-7333.

What is Jeff Sordahl's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jeff Sordahl enrolled in Medicare?

Yes. Jeff Sordahl 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 Jeff Sordahl accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jeff Sordahl 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 Jeff Sordahl was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.