Active NPIIndividual providerSole proprietor

Dr. Augustus E Jordan, PHD

Psychologist, Counseling in Middlebury, Vermont

NPI Number1639102551
Practice location
152 Maple St, Suite 202, Middlebury, VT 05753-1370
Fax
802-443-2772
Last updated
July 8, 2007

Augustus E. Jordan is a Psychologist, Counseling based in Middlebury, VT. Augustus E. Jordan practices in Middlebury, VT and has the professional credentials of PHD. The NPI Number for Augustus E. Jordan is 1639102551 and holds a License No. 048-0000843 (VT). The current practice location address for Augustus E. Jordan is 152 Maple St, Suite 202, Middlebury, VT 05753-1370 and can be reached out via phone at 802-989-1555 and via fax at 802-443-2772.

Provider Profile Details

NPI Number
1639102551
Provider Name
Augustus E. Jordan
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
152 Maple St, Suite 202, Middlebury, VT 05753-1370
Phone Number
802-989-1555
Fax Number
802-443-2772
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
Yes
Provider Enumeration Date
July 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
152 Maple St
Suite 202
Middlebury, VT 05753-1370
State
Vermont
Zip
05753-1370
Phone Number
802-989-1555
Fax Number
802-443-2772
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
57 S Street Ext
Middlebury, VT 05753-8982
City
Middlebury
State
VT
Zip
05753-8982
Phone Number
802-388-8360
Fax Number
802-443-2772

License Information

License Number
048-0000843
License State
VT
Taxonomy
Psychologist, Counseling · 103TC1900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Augustus E Jordan, PHD?

The NPI number of Dr. Augustus E Jordan, PHD is 1639102551. It was assigned on July 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Augustus E Jordan, PHD?

Dr. Augustus E Jordan, PHD is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in VT under license number 048-0000843.

Where does Dr. Augustus E Jordan, PHD practice?

The practice location is 152 Maple St, Suite 202, Middlebury, VT 05753-1370. The office can be reached at 802-989-1555 (phone) or 802-443-2772 (fax).

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 1639102551 directly on the NPPES registry website.

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