Mackenzie Jordan
Psychologist, Clinical in Cambridge, Massachusetts
1366089278- Practice location
- 625 Mount Auburn St, Cambridge, MA 02138-4555
- Phone
- 781-551-0999
- Fax
- —
- Last updated
- March 13, 2024
Mackenzie Jordan is a Psychologist, Clinical based in Cambridge, MA. Mackenzie Jordan practices in Cambridge, MA. The NPI Number for Mackenzie Jordan is 1366089278 and holds a License No. PSY10000234 (MA). The current practice location address for Mackenzie Jordan is 625 Mount Auburn St, Cambridge, MA 02138-4555 and can be reached out via phone at 781-551-0999.
Provider Profile Details
- NPI Number
- 1366089278
- Provider Name
- Mackenzie Jordan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 625 Mount Auburn St, Cambridge, MA 02138-4555
- Phone Number
- 781-551-0999
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 10, 2019
- Last Update Date
- March 13, 2024
- Certification Date
- March 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 625 Mount Auburn St
Cambridge, MA 02138-4555 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138-4555
- Phone Number
- 781-551-0999
Provider Business Mailing Address Details
- Address
- 625 Mount Auburn St
Cambridge, MA 02138-4555 - City
- Cambridge
- State
- MA
- Zip
- 02138-4555
- Phone Number
- 781-551-0999
License Information
- License Number
- PSY10000234
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mackenzie Jordan?
The NPI number of Mackenzie Jordan is 1366089278. It was assigned on December 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Mackenzie Jordan?
Mackenzie Jordan is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY10000234.
Where does Mackenzie Jordan practice?
The practice location is 625 Mount Auburn St, Cambridge, MA 02138-4555. The office can be reached at 781-551-0999 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366089278 directly on the NPPES registry website.