Jennifer Jordan, PSYD
NPI 1285947200ActiveIndividual· Psychologist, Clinical· Eagle, ID
Psychologist, Clinical (PSYD) in Eagle, Idaho, licensed in ID and CA, with an NPI issued in July 2010.
Overview
| NPI | 1285947200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Jul 19, 2010 |
| Last updated in NPPES | Sep 21, 2023 |
| Certified by provider | Sep 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY203711 | ID |
| Psychologist, Clinical | 103TC0700X | PSY25140 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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