Healthcare Provider Details

I. General information

NPI: 1710170451
Provider Name (Legal Business Name): JORDANA SARA KATZ PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17702 SIERRA HWY
SANTA CLARITA CA
91351-1635
US

IV. Provider business mailing address

250 N LITCHFIELD RD STE 260
GOODYEAR AZ
85338-1369
US

V. Phone/Fax

Practice location:
  • Phone: 888-770-5222
  • Fax: 888-770-9269
Mailing address:
  • Phone: 623-337-2275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLIAC-155368
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSB94029453
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: