Provider Type Icon

DR. JACQUELINE JACKSON PHD NPI 1942492863


NPI Profile

NPI: 1942492863
Provider Name: DR. JACQUELINE JACKSON, PHD
Classification:Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
6178 OXON HILL RD
SUITE 202
OXON HILL, MD
ZIP 20745
Get Directions

Phone: (301) 567-4751

DR. Jacqueline Jackson, PHD is a clinical psychologist in Oxon Hill, MD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Jacqueline Jackson, PHD NPI is 1942492863. 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:

6178 OXON HILL RD
SUITE 202
OXON HILL, MD
ZIP 20745
Phone: (301) 567-4751
Fax: (301) 567-3856

The enumeration date for this NPI number is 8/14/2007 and was last updated on 8/14/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPSY1741DISTRICT OF COLUMBIANo
2103TC0700XPsychologistClinical02954MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138100003OTHERBLUE CROSS BLUE SHIELD

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: 11/7/2021

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.