WARREN T JACKSON PHD NPI 1396773750

NPI Information

  • NPI: 1396773750
  • Provider Name: WARREN T JACKSON, PHD
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • Address: 3600 GASTON AVE
    1155 WADLEY TOWER
    DALLAS, TX
    ZIP 75246
  • Phone: (214) 820-5516

Map and Directions

Get Directions

NPI Details

Warren T Jackson, PHD is a clinical neuropsychologist in Dallas, TX. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Warren T Jackson, PHD NPI is 1396773750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3600 GASTON AVE
1155 WADLEY TOWER
DALLAS, TX
ZIP 75246-800
Phone: (214) 820-5516
Fax: (214) 820-5518

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90834)
  • Telephone medical discussion provided by nonphysician professional, 21-30 minutes (HCPCS:98968)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 4/4/2022.

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
1103G00000XClinical Neuropsychologist33275TEXASYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.