JORDAN M MACK
NPI 1356589873
Psychologist - Rehabilitation in Soper, OK

Q: What is Jordan Mack's NPI number?

The NPI number for Jordan Mack is 1356589873. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Q: What is Jordan Mack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Mack was last updated on March 31, 2009. 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.

Active since January 22, 2009

RR 1 BOX 131, SOPER, OK 74759(580) 317-5209 Get Directions Write a Review

NPPES record last updated: March 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan M Mack NPPES

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

JORDAN M MACK (NPI 1356589873) is an individual rehabilitation provider in Soper, Oklahoma and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1356589873

Entity TypeIndividualFemale

Primary Taxonomy103TR0400X

Provider Legal NameJORDAN M MACK

Location AddressRR 1 BOX 131Soper, OK 74759-9632

Mailing AddressRr 1 Box 131Soper, OK 74759-9632 · (580) 317-5209

Phone(580) 317-5209

Sole ProprietorNo

Enumeration DateJanuary 22, 2009

Last NPPES UpdateMarch 31, 2009

✔ NPI 1356589873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers

Taxonomy Code103TR0400X

Definition

A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

RR 1 BOX 131, Soper, OK 74759

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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 Mack's NPI number?

The NPI number for Jordan Mack is 1356589873. It was assigned to this individual provider in the NPPES registry on January 22, 2009.

Where is Jordan Mack located?

Jordan Mack practices at Rr 1 Box 131, Soper, OK 74759. The listed phone number is (580) 317-5209.

What is Jordan Mack's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

When was this NPI record last updated?

The NPPES record for Jordan Mack was last updated on March 31, 2009. 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.