RUSSELL NEILEND JACKSON PHD NPI 1598426884

NPI Information

  • NPI: 1598426884
  • Provider Name: RUSSELL NEILEND JACKSON, PHD
  • Classification: Psychologist - 103TP2701X
  • Specialization: Group Psychotherapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 414 E BROADWAY STE 201A
    COLUMBIA, MO
    ZIP 65201
  • Phone: (515) 460-0047

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NPI Details

Russell Neilend Jackson, PHD is a group psychotherapy psychologist in Columbia, MO. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. Russell Neilend Jackson, PHD NPI is 1598426884. 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:

414 E BROADWAY STE 201A
COLUMBIA, MO
ZIP 65201-489
Phone: (515) 460-0047

The NPI 1598426884 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/7/2022 and was last updated on 9/29/2025.

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
1103TC1900XPsychologistCounseling2021011992MISSOURINo
2103TC0700XPsychologistClinical2021011992MISSOURINo
3103TP2701XPsychologistGroup Psychotherapy2021011992MISSOURIYes

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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