JACKSON BEHAVIORAL SERVICES NPI 1306957444

NPI Information

  • NPI: 1306957444
  • Provider Name: JACKSON BEHAVIORAL SERVICES
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 209 E WASHINGTON AVE
    SUITE 221
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 780-0809

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NPI Details

JACKSON BEHAVIORAL SERVICES is a medical specialty clinic center in Jackson, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JACKSON BEHAVIORAL SERVICES NPI is 1306957444. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

209 E WASHINGTON AVE
SUITE 221
JACKSON, MI
ZIP 49201-393
Phone: (517) 780-0809
Fax: (517) 788-5922

The provider's authorized official is Bradley L Schweda .
The authorized official title is Psychologist and has the following contact phone number (517) 780-0809.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/11/2025.

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
1103TC0700XPsychologistClinical6301010119MICHIGANNo
2103TC0700XPsychologistClinical6302006268MICHIGANNo
3261QM1300XClinic/CenterMulti-Specialty4301044183MICHIGANNo
4261QM2500XClinic/CenterMedical Specialty4301044183MICHIGANYes

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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