Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon C Nordgren, PHD

Individual provider Psychologist · NPI 1619024049

Jon C Nordgren, PHD is a Clinical Psychologist in Sioux Falls, South Dakota. Graduated from Sanford School of Medicine of University of South Dakota in 1991, 35 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
35
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
SD
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4400 W 69th St
Sioux Falls, SD 57108-8170
Phone: (605) 322-4004
Fax: (605) 322-4060
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Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 340 (SD)

Record details

NPI number1619024049
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESNovember 11, 2011
Mailing address4400 W 69th St, Sioux Falls, SD 57108-8170

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 1991 (35 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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