Jordan Backstrom, PSY.D
NPI 1124552708 · Clinical Psychologist · Waltham, MA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Backstrom, PSY.D is a Clinical Psychologist provider in Waltham, MA (NPI 1124552708).
Provider details
- NPI number
- 1124552708
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Male
- Sole proprietor
- No
- License
- 10520 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2017-04-20
Frequently asked questions
- What is Jordan Backstrom's NPI number?
- Jordan Backstrom's National Provider Identifier (NPI) is 1124552708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Backstrom's specialty?
- Jordan Backstrom is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jordan Backstrom located?
- Jordan Backstrom's practice location on file with NPPES is 85 1st Ave, Waltham, MA 02451-1105.
- What is Jordan Backstrom's phone number?
- The practice phone number listed in the NPPES registry for Jordan Backstrom is (781) 895-7963.
- Does Jordan Backstrom accept Medicare?
- Jordan Backstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Backstrom's NPI active?
- Yes — Jordan Backstrom's NPI (1124552708) is active in the NPPES registry as of the last update on 2017-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.