MRS. MELISSA EILEEN JACKSON LPT NPI 1235808551

NPI Information

  • NPI: 1235808551
  • Provider Name: MRS. MELISSA EILEEN JACKSON, LPT
  • Classification: Licensed Psychiatric Technician - 167G00000X
  • Entity Type: Individual
  • Address: 71175 AURORA RD
    DESERT HOT SPRINGS, CA
    ZIP 92241
  • Phone: (760) 251-8858

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NPI Details

MRS. Melissa Eileen Jackson, LPT is a licensed psychiatric technician in Desert Hot Springs, CA. The provider is an individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. MRS. Melissa Eileen Jackson, LPT NPI is 1235808551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

71175 AURORA RD
DESERT HOT SPRINGS, CA
ZIP 92241-631
Phone: (760) 251-8858
Fax: (760) 329-8889

The enumeration date for this NPI number is 9/9/2021 and was last updated on 9/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225C00000XRehabilitation CounselorBVNPTCALIFORNIANo
2167G00000XLicensed Psychiatric Technician35652CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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