DAVID K JACKSON (NPI# 1053464339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053464339 |
| Entity Type | Individual |
| Full Name | DAVID K JACKSON |
| Credential | PHD MSCP |
| Practice Address |
200 Henry Clay Ave New Orleans LA 70118-5911 |
| Mailing Address |
200 Henry Clay Ave New Orleans LA 70118-5720 |
| Practice Telephone | 5048967272 |
| Mailing Telephone | 5088967272 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
694MP | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1677833 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
200 HENRY CLAY AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70118-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505632 | Thomas H Carson | Pathology | 200 Henry Clay Ave, Children's Hospital- Department of Pathology, New Orleans, LA 70118-5720 | 2005-08-19 |
| 1255932182 | Children's Hospital | Ambulance | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-11-06 |
| 1831703768 | Olivia Dejean | Physician Assistant | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-09-08 |
| 1821600149 | Kristen Clement Casey | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-08-18 |
| 1093326407 | Devon Relle | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-08-11 |
| 1710507389 | Hiba Elaasar | Student in an Organized Health Care Education/Training Program | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-04-23 |
| 1598385684 | Heather Cleveland | Physician Assistant | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-04-20 |
| 1730717158 | Ryan Gill | Student in an Organized Health Care Education/Training Program | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-03-31 |
| 1336777390 | Megan Burke | Student in an Organized Health Care Education/Training Program | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-03-27 |
| 1760010755 | Abby Walker | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
| 1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
| 1922521467 | Amy Mcdonald | Specialist/Technologist | 2950 Ben Weiner Dr., Tulane Univ., Athletic Training Rm, 1st Floor, New Orleans, LA 70118 | 2017-07-17 |
| 1760910848 | Tyler Tunnell | Specialist/Technologist | James Wilson Center, 333 Ben Weiner Drive, New Orleans, LA 70118 | 2017-06-01 |
| 1538692801 | Shneitha Beasley | Counselor | 2619 Leonidas St, New Orleans, LA 70118 | 2017-04-04 |
| 1467826966 | Ethan Alan Solger | Specialist/Technologist | 333 James W Wilson Jr Center, New Orleans, LA 70118 | 2015-11-20 |
| 1225402878 | Heather Ravner | Student in an Organized Health Care Education/Training Program | Ben Weiner Drive, James W. Wilson Jr. Center, New Orleans, LA 70118 | 2015-11-19 |
| 1558735142 | Albert Charles Lindon IIi | Specialist/Technologist | 333 Ben Weiner Dr, New Orleans, LA 70118 | 2015-11-19 |
| Find all providers in zip 70118 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449388 | Dr. Chandler, LLC | Psychologist | 1615 Poydras St Ste 900, New Orleans, LA 70112-1282 | 2020-05-22 |
| 1801253059 | Gervey and Associates, LLC | Psychologist | 3520 General Degaulle Dr, Suite 4098, New Orleans, LA 70114-6757 | 2016-01-19 |
| 1558647891 | Jonathan Nicholas Chandler | Psychologist | 1615 Poydras St, Ste 900, New Orleans, LA 70112-1282 | 2011-11-01 |
| 1437442225 | New Consulting Services, LLC | Psychologist | 7815 Maple St, New Orleans, LA 70118-3960 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297182 | George S. Park, Phd., Mp., A Psychology Corporation | Psychologist | 2285 Benton Rd Ste 401, Bossier City, LA 71111-7933 | 2017-10-25 |
| 1669887907 | John Courtney LLC | Psychologist | 118 Terra Bella Blvd, Suite 101, Covington, LA 70433-8148 | 2014-06-25 |
| 1730520925 | Faw Services, LLC | Psychologist | 223 Bellingrath Pl, Madisonville, LA 70447-3421 | 2013-07-16 |
| 1134418502 | Psychological Health Care of South Louisiana | Psychologist | 1016 Houma St, Houma, LA 70360-4420 | 2011-04-06 |
| 1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
| 1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
| 1710101373 | Rebecca Faye Nolan | Psychologist | 111 Carroll St, Shreveport, LA 71105-4203 | 2007-04-12 |
| 1013131267 | Dr. Maria B. Cruse Apmg | Psychologist | 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 | 2007-04-12 |
| 1093860371 | Maxine Elizabeth Campbell-flint | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2007-01-24 |
| 1104925932 | Williams Consulting Inc. | Psychologist | 1410 Royal Ave, Monroe, LA 71201-5608 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70118 |
Please comment or provide details below to improve the information on DAVID K JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.