NPI Details
Grace Elizabeth Jackson, MD is a psychiatry psychiatry neurology in Fresno, CA with 30 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Grace Elizabeth Jackson, MD NPI is 1659460814. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1996
The provider's business location address is:
4441 E CESAR CHAVEZ BLVD
FRESNO, CA
ZIP 93702-604
Phone: (559) 600-9059
The NPI 1659460814 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, Part A Home Health Agency (HHA), Power Mobility Devices.
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.
- Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth (HCPCS:G0427)
The enumeration date for this NPI number is 10/12/2006 and was last updated on 12/9/2025.
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 |
| 1 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 30325 | WEST VIRGINIA | No |
| 2 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 15320 | NEVADA | No |
| 3 | 2084P0800X | Psychiatry & Neurology | Psychiatry | D0090940 | MARYLAND | No |
| 4 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 12228A | WYOMING | No |
| 5 | 2084P0800X | Psychiatry & Neurology | Psychiatry | C56001 | CALIFORNIA | No |
| 6 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 200200922 | NORTH CAROLINA | No |
| 7 | 2084P0800X | Psychiatry & Neurology | Psychiatry | MD-17101 | HAWAII | No |
| 8 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 46710 | ARIZONA | No |
| 9 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 63217 | TENNESSEE | No |
| 10 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 036154094 | ILLINOIS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 765156 | MEDICAID | ARIZONA | |
| 2 | 5913321 | MEDICAID | NORTH CAROLINA | |
