IndividualActive
Kelly Jordan, PHD
NPI 1356826325 · Health Service Psychologist · New Brighton, MN
Provider details
- NPI number
- 1356826325
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
516 Mission House Ln
New Brighton, MN 55112-2571
Phone: (651) 636-5120
Street-level locationGet directions
Mailing address
1993 Wellesley Ave
Saint Paul, MN 55105-1619
Registry dates
- Enumerated
- 2018-09-26
- Last updated
- 2018-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.