TIMI JORDISON PSYCHOLOGICAL SERVICES, P.C.
NPI 1619203379
Psychologist in Fort Dodge, IA

Active since October 30, 2009
1728 CENTRAL AVE, SUITE 14, FORT DODGE, IA 50501(515) 573-3628(515) 573-3628 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timi Jordison Psychological Services, P.c. NPPES

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

TIMI JORDISON PSYCHOLOGICAL SERVICES, P.C. (NPI 1619203379) is a healthcare organization registered as a psychologist in Fort Dodge, Iowa and active in the NPI registry since October 2009. The organization lists Timi Dee Friederichs Jordison, Owner/psychologist, as its authorized official.

NPPES Registry Identity

NPI1619203379
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameTIMI JORDISON PSYCHOLOGICAL SERVICES, P.C.
Location Address1728 CENTRAL AVE, SUITE 14Fort Dodge, IA 50501-4200
Mailing Address1728 Central Ave, Suite 14Fort Dodge, IA 50501-4200 · (515) 573-3628 · Fax (515) 573-3628
Fax(515) 573-3628
Organization SubpartNo
Authorized OfficialTimi Dee Friederichs JordisonOwner/psychologist · (515) 573-3628
Enumeration DateOctober 30, 2009
✔ NPI 1619203379 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 IA · 001080
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.
1728 CENTRAL AVE, Fort Dodge, IA 50501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timi Jordison Psychological Services, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Timi Jordison Psychological Services, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1043390818
1728 CENTRAL AVE STE. 14
Fort Dodge, IA 50501
(515) 573-3628
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Timi Jordison Psychological Services, P.C.'s NPI number?

The NPI number for Timi Jordison Psychological Services, P.C. is 1619203379. It was assigned to this organization in the NPPES registry on October 30, 2009.

Where is Timi Jordison Psychological Services, P.C. located?

Timi Jordison Psychological Services, P.C. is located at 1728 Central Ave Suite 14, Fort Dodge, IA 50501. The listed phone number is (515) 573-3628.

What is Timi Jordison Psychological Services, P.C.'s specialty?

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

Is Timi Jordison Psychological Services, P.C. enrolled in Medicare?

Yes. Timi Jordison Psychological Services, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Timi Jordison Psychological Services, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Timi Jordison Psychological Services, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Timi Jordison Psychological Services, P.C. was last updated on October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.