JOURDAN MARIE PORTER, PSYD MED LLC
NPI 1730988254
Psychologist - Clinical in Philadelphia, PA

Q: What is Jourdan Marie Porter, Psyd Med LLC's NPI number?

The NPI number for Jourdan Marie Porter, Psyd Med LLC is 1730988254. It was assigned to this organization in the NPPES registry on March 8, 2025. The provider is doing business as Small Spoons Healing.

Q: What is Jourdan Marie Porter, Psyd Med LLC's specialty?

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

Active since March 08, 2025

100 S BROAD ST STE 834, PHILADELPHIA, PA 19110(267) 692-2858 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Mar 8, 2025 (2 updates tracked since 2025).

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About Jourdan Marie Porter, Psyd Med Llc NPPES

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

JOURDAN MARIE PORTER, PSYD MED LLC (NPI 1730988254), doing business as Small Spoons Healing, is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Philadelphia and lists Jourdan Marie Porter, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1730988254

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJOURDAN MARIE PORTER, PSYD MED LLC

Location Address100 S BROAD ST STE 834Philadelphia, PA 19110-1018

Mailing Address37 S Ruby StPhiladelphia, PA 19139-3322 · (601) 862-0343

Phone(267) 692-2858

Organization SubpartNo

Authorized OfficialJourdan Marie PorterLicensed Clinical Psychologist · (601) 862-0343

Enumeration DateMarch 8, 2025

Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1730988254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

100 S BROAD ST STE 834, Philadelphia, PA 19110

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Other Names 1

Doing Business AsSmall Spoons Healing

Secondary Practice Location 1

Location 137 S Ruby StPhiladelphia, PA 19139-3322 · Phone (601) 862-0343

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

Other Providers at the Same Location NPPES 5

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

ANNA BARTKO

Psychologist (Clinical)