National Provider Identifier Database

MARK JORDAN, PSY.D. – NPI #1740374461
Clinical

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.


Contact Information

MARK JORDAN, PSY.D.
2701 W 68TH STREET
CHICAGO, IL60629
Phone: 708-991-9002
Fax: 908-991-9003
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for MARK JORDAN

NPI Number 1740374461
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 71005770
  • IL Other: BLUE CROSS BLUE SHIE BC/BS ILLINOIS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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