JORDYN STAAR MA
NPI 1639706898
Art Therapist in Philadelphia, PA

Active since March 26, 2020Opted out of Medicare · through Feb 6, 2027
4200 MONUMENT RD, PHILADELPHIA, PA 19131(845) 664-4933 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordyn Staar Ma NPPES

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

JORDYN STAAR MA (NPI 1639706898) is an individual art therapist in Philadelphia, Pennsylvania and active in the NPI registry since March 2020. She has opted out of Medicare through February 6, 2027.

NPPES Registry Identity

NPI1639706898
Entity TypeIndividualFemale
Primary Taxonomy221700000X
Provider Legal NameJORDYN STAARCredential: MA
Location Address4200 MONUMENT RDPhiladelphia, PA 19131-1625
Mailing Address1414 Dickinson St Apt 3Philadelphia, PA 19146-4817 · (845) 664-4933
Sole ProprietorYes
Enumeration DateMarch 26, 2020
NPPES CertifiedMarch 26, 2020
NPI 1639706898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code221700000X
Definition
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
4200 MONUMENT RD, Philadelphia, PA 19131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jordyn Staar Ma 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 February 6, 2025 through February 6, 2027.

Opt-Out Effective DateFebruary 6, 2025
Opt-Out In Effect ThroughFebruary 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 (Child & Adolescent Psychiatry)
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Marriage & Family Therapist
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Occupational Therapist (Mental Health)
4200 MONUMENT RD, RSD
PHILA, PA 19131
Clinic/Center
4200 MONUMENT RD
PHILA, PA 19131
Counselor (Mental Health)
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Psychologist
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Case Manager/Care Coordinator
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Social Worker
4200 MONUMENT RD
PHILADELPHIA, PA 19131

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 Jordyn Staar's NPI number?

The NPI number for Jordyn Staar is 1639706898. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Jordyn Staar located?

Jordyn Staar practices at 4200 Monument Rd, Philadelphia, PA 19131. The listed phone number is (845) 664-4933.

What is Jordyn Staar's specialty?

The primary specialty registered for this NPI is Art Therapist with taxonomy code 221700000X.

Is Jordyn Staar enrolled in Medicare?

No. Jordyn Staar has opted out of Medicare through February 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jordyn Staar was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.