DR. CATHARINA ANN JORDAN
NPI 1588896153
Psychologist - Clinical in Melbourne, FL

Active since August 17, 2009Opted out of Medicare · through Mar 30, 2028
1299 BEDFORD DR, SUITE A, MELBOURNE, FL 32940(321) 259-1662 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Catharina Ann Jordan NPPES

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

DR. CATHARINA ANN JORDAN (NPI 1588896153) is an individual clinical provider in Melbourne, Florida, licensed in Ohio (P.08273) and active in the NPI registry since August 2009. She has opted out of Medicare through March 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1588896153
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CATHARINA ANN JORDAN
Location Address1299 BEDFORD DR, SUITE AMelbourne, FL 32940-1900
Mailing Address9200 Montgomery Rd Ste 23bMontgomery, OH 45242-7794
Sole ProprietorNo
Enumeration DateAugust 17, 2009
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
NPI 1588896153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in OH · P.08273 Licensed in FL · PY9617
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.
1299 BEDFORD DR, Melbourne, FL 32940

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Catharina Ann Jordan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 30, 2020 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2020
Opt-Out In Effect ThroughMarch 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist
1299 BEDFORD DR, SUITE A
MELBOURNE, FL 32940

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 Catharina Jordan's NPI number?

The NPI number for Catharina Jordan is 1588896153. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Where is Catharina Jordan located?

Catharina Jordan practices at 1299 Bedford Dr Suite A, Melbourne, FL 32940. The listed phone number is (321) 259-1662.

What is Catharina Jordan's specialty?

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

Is Catharina Jordan enrolled in Medicare?

No. Catharina Jordan has opted out of Medicare through March 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Catharina Jordan was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.