JON C NORDGREN PHD
NPI 1619024049
Psychologist in Sioux Falls, SD

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
4400 W 69TH ST, SIOUX FALLS, SD 57108(605) 322-4004(605) 322-4060 Get Directions Write a Review

NPPES record last updated: November 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jon C Nordgren Phd NPPES

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

JON C NORDGREN PHD (NPI 1619024049) is an individual psychologist in Sioux Falls, South Dakota, licensed in South Dakota (340) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1991).

NPPES Registry Identity

NPI1619024049
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJON C NORDGRENCredential: PHD
Location Address4400 W 69TH STSioux Falls, SD 57108-8170
Mailing Address4400 W 69th StSioux Falls, SD 57108-8170 · (605) 322-4004 · Fax (605) 322-4060
Fax(605) 322-4060
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1991
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 11, 2011
NPI 1619024049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in SD · 340
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4400 W 69TH ST, Sioux Falls, SD 57108

Other Names 1

Other Name (5)Chris Nordgren Phd

Other Identifiers 6

Medicaid6551372SC
Medicaid557412900MN
Other9225136Dakotacare
Medicare OSCAR/certification7021SD
Medicaid10025015700NE
Other4995998SD · Sd Bluecross Prov#

Accepted 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

Jon C Nordgren Phd 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 ID4183881618
PECOS Enrollment IDI20120210000139
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
123 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

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.

Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Psychiatric/Mental Health)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST
SIOUX FALLS, SD 57108
Student in an Organized Health Care Education/Training Program
4400 W 69TH ST
SIOUX FALLS, SD 57108
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Physician Assistant
4400 W 69TH ST
SIOUX FALLS, SD 57108
Counselor (Mental Health)
4400 W 69TH ST, STE 1500
SIOUX FALLS, SD 57108
Pharmacist
4400 W 69TH ST, SUITE 1800
SIOUX FALLS, SD 57108

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 Jon Nordgren's NPI number?

The NPI number for Jon Nordgren is 1619024049. It was assigned to this individual provider in the NPPES registry on January 5, 2007. The provider is also known as Chris Nordgren Phd.

Where is Jon Nordgren located?

Jon Nordgren practices at 4400 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 322-4004.

What is Jon Nordgren's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jon Nordgren enrolled in Medicare?

Yes. Jon Nordgren 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 Jon Nordgren accept?

Health plans from Avera Health Plans and Sanford Health Plan list Jon Nordgren 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.

Is Jon Nordgren affiliated with any hospitals?

According to CMS data, Jon Nordgren is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Jon Nordgren was last updated on November 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.