Dr. Jordan D Alexander
Psychologist in Bangor, ME. Individual provider (NPI-1).
NPI number1669397105
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1669397105
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jordan D Alexander
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2026
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
35 State Hospital DrBangor, ME 04401-8816
Phone 877-421-8263
Mailing address
184 Forest Ave Apt 1Bangor, ME 04401-4186
Phone 818-297-9002
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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