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

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: July 19, 2026.

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

  • Organization
  • Psychologist
  • Clinical

About JOURDAN MARIE PORTER, PSYD MED LLC

This page provides the complete NPI Profile along with additional information for Jourdan Marie Porter, Psyd Med Llc, a provider established in Philadelphia, Pennsylvania operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1730988254 assigned on March 2025. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jourdan Marie Porter Psyd Med (Licensed Clinical Psychologist)

NPI
1730988254 Verify this NPI
Provider Name
JOURDAN MARIE PORTER, PSYD MED LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
100 S BROAD ST STE 834 PHILADELPHIA, PA 19110
Location Phone
(267) 692-2858
Mailing Address
37 S RUBY ST PHILADELPHIA, PA 19139
Mailing Phone
(601) 862-0343
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2025
Last Update Date
08-06-2025
Code Navigator

A clinical psychologist like Jourdan Marie Porter, Psyd Med Llc assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Secondary Locations

  • 37 S Ruby St
    Philadelphia, PA 19139
    (601) 862-0343

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOURDAN MARIE PORTER PSYD MED

Authorized Official Title
LICENSED CLINICAL PSYCHOLOGIST
Authorized Official Phone
(601) 862-0343

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
100 S BROAD ST STE 834
PHILADELPHIA, PA 19110
Psychologist (Clinical)
100 S BROAD ST STE 834
PHILADELPHIA, PA 19110
Marriage & Family Therapist
100 S BROAD ST STE 834
PHILADELPHIA, PA 19110
Psychologist (Clinical)
100 S BROAD ST STE 834
PHILADELPHIA, PA 19110
Psychologist
100 S BROAD ST STE 834
PHILADELPHIA, PA 19110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730988254, enumerated as an "organization" on March 08, 2025.

The provider is located at 100 S BROAD ST STE 834 PHILADELPHIA, PA 19110 and the phone number is (267) 692-2858.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.