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KELLY JORDAN PHD
NPI 1356826325
Psychologist - Health Service in New Brighton, MN

Active since September 26, 2018
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112(651) 636-5120 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Jordan Phd NPPES

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

KELLY JORDAN PHD (NPI 1356826325) is an individual health service provider in New Brighton, Minnesota and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1356826325
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameKELLY JORDANCredential: PHD
Location Address516 MISSION HOUSE LNNew Brighton, MN 55112-2571
Mailing Address1993 Wellesley AveSaint Paul, MN 55105-1619 · (612) 770-7858
Phone(651) 636-5120
Sole ProprietorNo
Enumeration DateSeptember 26, 2018
✔ NPI 1356826325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
516 MISSION HOUSE LN, New Brighton, MN 55112
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Other Providers at the Same Location NPPES 7

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

MARY LOU HONSTEAD PH.D., L.P.
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
MRS. SARAH ELIZABETH PARKER LMFT
Marriage & Family Therapist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
MR. SHANE RAYMOND LONG L.M.F.T.
Marriage & Family Therapist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
SUSAN M. R. NIENABER LMFT
Marriage & Family Therapist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
DR. MARK ELMER SUNDBY PH.D.
Psychologist (Counseling)
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5120
CAROLINE A BURKE PH.D., LP
Specialist
516 MISSION HOUSE LN
NEW BRIGHTON, MN 55112
Ramsey County (651) 636-5124

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 Kelly Jordan's NPI number?

The NPI number for Kelly Jordan is 1356826325. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Where is Kelly Jordan located?

Kelly Jordan practices at 516 Mission House Ln, New Brighton, MN 55112. The listed phone number is (651) 636-5120.

What is Kelly Jordan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Kelly Jordan was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.