NPPES file of Aug 9, 2026

Jordan Paul Backstrom, PSY.D

Clinical Psychologist · Waltham, MA

Jordan Paul Backstrom, PSY.D is a clinical psychologist with a practice address in Waltham, Massachusetts, and NPI 1124552708, issued on Apr 20, 2017. Check the license (Massachusetts 10520, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124552708
Name
Jordan Paul Backstrom
Credential
PSY.D
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
10520 MA
Self-reported in NPPES; status is on the state search
Practice location
85 1St Ave, Waltham, MA 02451
Phone
(781) 895-7963
Enumerated
Apr 20, 2017
Record last updated
Apr 20, 2017 (not updated in 9 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20180223002352); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 85 1St Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nicholas Barnes, M.D.Interventional Pain Medicine Physician1578806170
  2. David Dibenedetto, M.D.Interventional Pain Medicine Physician1770599029
  3. Kathryn Giblin, M.D.Neurology Physician1972828234
  4. Susan HamPhysical Therapist1477761294
  5. Katherine Nycz, APRNAdult Health Nurse Practitioner1821341264
  6. Susan PayneCertified Registered Nurse Anesthetist1447370838

Verify Jordan Paul Backstrom in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
    Search for license 10520    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Massachusetts license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Cypress Counseling Center PCAnn Arbor, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

30 clinical psychologist records list a practice address in Waltham

They are 30 of the 2,111 NPPES records with a practice address in Waltham, and 3,185 clinical psychologist records in Massachusetts.

All 30 in Waltham → All 3,185 in Massachusetts → Every provider in Waltham →

Other clinical psychologist records in Massachusetts

  1. Elizabeth AbbateRevere, MA1992053748
  2. Deborah Abber, PH.D.Westford, MA1568885846
  3. Caroline Abbott, PHDBrockton, MA1699478446
  4. Roger Abdell, ED.DNewton Centre, MA1225110281
  5. Kenneth Abdul-Karim, PH.D.Mashpee, MA1689850661
  6. Tahirah Abdullah-Swain, PHDBoston, MA1306417456
  7. Susan Abelson, PH.D.Cambridge, MA1447306154
  8. Kristen Aberle, PSYDBoston, MA1619308772
  9. Gridth Ablon, PHDChesnut Hill, MA1538380480
  10. Lawrence Abrams, PH.D.Canton, MA1013985993

Common questions

What is Jordan Paul Backstrom, PSY.D's NPI number?

Jordan Paul Backstrom, PSY.D's National Provider Identifier (NPI) is 1124552708, issued on Apr 20, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Jordan Paul Backstrom, PSY.D located?

The NPPES record lists a practice address at 85 1St Ave, Waltham, MA, 02451. Phone: (781) 895-7963. Providers update this record themselves, so call before visiting.

How can I verify Jordan Paul Backstrom, PSY.D's license?

NPPES lists Massachusetts license number 10520, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.