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

Jordan Dietrich, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255081345

Jordan Dietrich, MD is a Psychiatry in Lebanon, New Hampshire. Qualified in 2022, 4 years ago. Practices with State of New Hampshire, a 77-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
4
Licensed in
NH
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Medical Dr Dept OF
Lebanon, NH 03756-1000
Phone: (603) 650-5000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 33439 (NH)

Record details

NPI number1255081345
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice State Of New Hampshire — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lebanon