KRISTIN MARY JACKSON (NPI# 1104255116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104255116 |
| Entity Type | Individual |
| Full Name | KRISTIN MARY JACKSON |
| Credential | PSY.D. |
| Practice Address |
410 N Prince St Lancaster PA 17603-3010 |
| Practice Telephone | 7175607917 |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS018008 | PA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | BH002643 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398697 | Kristin Burch Jackson | Physical Therapist | 317 Wallace Ave Ste 203, Louisville, KY 40207-3060 | 2019-10-21 |
| 1689221277 | Kristin L Jackson | Physical Therapy Assistant | 15820 Addison Rd, Addison, TX 75001-3549 | 2019-08-20 |
| 1215308143 | Kristin Bravenec Jackson | Nurse Practitioner | 100 Medical Dr, Lake Jackson, TX 77566-5674 | 2015-10-19 |
| 1740578707 | Kristin Ann Monnat Jackson | Nurse Anesthetist, Certified Registered | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2011-07-12 |
| 1174616825 | Kristin M Jackson | Dentist | 45 N Madison Ave, Greenwood, IN 46142-3526 | 2006-10-02 |
| 1861417859 | Kristin M. Jackson | Obstetrics & Gynecology | 235 E Princeton St, Suite 200, Orlando, FL 32804-5553 | 2006-07-12 |
| 1720037724 | Kristin Jackson | Podiatrist | 1108 1st St Se, Little Falls, MN 56345-3440 | 2006-05-08 |
| Street Address |
410 N PRINCE ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215641 | Jeffrey Spencer | Counselor | 410 N Prince St, Lancaster, PA 17603-3010 | 2005-09-12 |
| 1588264410 | Kristina Ehleiter Sloyer | Marriage & Family Therapist | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-10-29 |
| 1174123319 | Tori Stahl | Social Worker | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-10-27 |
| 1376142562 | Gloria Francis | Social Worker | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-10-20 |
| 1043827702 | Amy Constance Jean Cornwall | Behavioral Analyst | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-09-28 |
| 1932715075 | Jenna Lynn Enterline | Social Worker | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-09-22 |
| 1447863030 | Jennifer Offidani | Social Worker | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-08-25 |
| 1255949699 | Jillian Watkins | Social Worker | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-07-22 |
| 1215553532 | Victoria Kateri Glogg | Counselor | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-06-23 |
| 1497379747 | Esther N Charles | Counselor | 410 N Prince St, Lancaster, PA 17603-3010 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
| 1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
| 1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
| 1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
| 1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
| 1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
| Find all providers in zip 17603 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811450109 | Mary Theresa Mcmanaman | Psychologist | 1009 Woods Ave, Lancaster, PA 17603-3126 | 2019-04-12 |
| 1720413560 | De'nean Mechele Coleman-carew | Psychologist | 44905 10th St W, Lancaster, CA 93534-2313 | 2013-09-11 |
| 1124465448 | Jean Ferguson, Licensed Psychologist, LLC | Psychologist | 719 Olde Hickory Rd, Suite A, Lancaster, PA 17601-4985 | 2013-05-28 |
| 1801122247 | Atomic Shrink Psychology, Inc. | Psychologist | 1034 W Avenue L12, Suite 111, Lancaster, CA 93534-7083 | 2009-10-20 |
| 1114109287 | Rebecca G Murray | Psychologist | 302 West Orange Street, Lancaster, PA 17603-3749 | 2007-11-30 |
| 1174711576 | Cathy Denise Degennaro | Psychologist | 251 East Avenue K-6, Lancaster, CA 93535 | 2007-10-10 |
| 1528258100 | Jessica R Umbrell | Psychologist | 1850 William Penn Way, Suite 202, Lancaster, PA 17601-6737 | 2007-07-30 |
| 1487863460 | John S Tardibuono | Psychologist | 1860 Charter Ln Ste 103, Greenfield Corp. Center, Lancaster, PA 17601-6730 | 2007-05-22 |
| 1316160815 | Judson William Mccune | Psychologist | 1853 William Penn Way, Lancaster, PA 17601-6713 | 2007-04-11 |
| 1972636322 | Christopher Carl Cornell | Psychologist | 44447-c 10th Street West, Lancaster, CA 93534 | 2007-03-14 |
| Find all providers in LANCASTER | ||||
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| 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.