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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JORDAN X ALLEN DO
NPI 1568039865
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wauwatosa, WI

Active since June 07, 2021PECOS Enrolled
1220 DEWEY AVE, WAUWATOSA, WI 53213(414) 773-4312(414) 454-6789 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 10, 2026, Jul 11, 2024, Jun 7, 2021 (3 updates tracked since 2021).

About Jordan X Allen Do NPPES

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

JORDAN X ALLEN DO (NPI 1568039865) is an individual child & adolescent psychiatry provider in Wauwatosa, Wisconsin, licensed in Wisconsin (8143621) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2021).

NPPES Registry Identity

NPI1568039865
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJORDAN X ALLENCredential: DO
Location Address1220 DEWEY AVEWauwatosa, WI 53213-2504
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 773-4312
Fax(414) 454-6789
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2021
Enumeration DateJune 7, 2021
Last NPPES UpdateSeptember 10, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1568039865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WI · 8143621
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 8143621 (WI), 125.078495 (IL)
1220 DEWEY AVE, Wauwatosa, WI 53213
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Secondary Practice Locations 2

Location 1350 N Wall StKankakee, IL 60901-2901 · Phone (815) 933-1601
Location 28701 Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (660) 233-2157

Other Identifiers 1

Medicaid100282166WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Security 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 (PECOS)

Jordan X Allen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890229926
PECOS Enrollment IDI20250930003352
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 20

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

AMANDA DRESSER
Pharmacist
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6796
JEAN A MUERHOFF-SCHWEDA PSY.D.
Psychologist
1220 DEWEY AVE, LORTON BLDG, RM 208
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6731
DR. UPTON THOMAS M.D.
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6754
DR. ASHOK R BEDI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. ABDUL MATEEN KHAZI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6574
MICHAEL FULLER MCBRIDE MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. KAROLE MARIE KUSLAK DO
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6600
CHRISTINE S SCHULTZ-RODRIGUEZ
Social Worker (Clinical)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6707

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 Allen's NPI number?

The NPI number for Jordan Allen is 1568039865. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Jordan Allen located?

Jordan Allen practices at 1220 Dewey Ave, Wauwatosa, WI 53213. The listed phone number is (414) 773-4312.

What is Jordan Allen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jordan Allen enrolled in Medicare?

Yes. Jordan Allen is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Allen accept?

Health plans from Medica and Security Health Plan list Jordan Allen 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 Allen was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.