TAMARA JACKSON


Address: 1725 I Street Nw, Suite 300, Washington, DC 20006
Phone: 2023498471

TAMARA JACKSON (NPI# 1104314343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104314343
Entity Type Individual
Full Name TAMARA JACKSON
Credential PHD
Practice Address 1725 I Street Nw
Suite 300
Washington
DC 20006
Mailing Address 4118 Illinois Ave Nw
Washington
DC 20011-5950
Practice Telephone 2023498471
Mailing Telephone 2025589488
Enumeration Date 2018-04-24
Last Update Date 2018-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY1000266 DC Behavioral Health & Social Service Providers

Other Providers TAMARA JACKSON

NPI Name Taxonomy Address Enumeration
1861824807 Tamara Desiree Jackson Case Manager/Care Coordinator 678 Sagamore St Apt 7h, Bronx, NY 10462-2874 2013-08-01
1043542236 Tamara Jean Jackson Community Health Worker 350 Henry Ave, Wewahitchka, FL 32465-8766 2010-02-12
1184771073 Tamara Jackson Radiology 469 W Huron St, Apt 810, Chicago, IL 60654-3467 2007-01-04
1366503716 Tamara Joyce Jackson Pediatrics 1328 W St Se, Anacostia Clinic, Washington, DC 20020-5718 2006-12-12
1164061073 Tamara T Jackson Counselor 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 2019-12-26
1659898351 Tamara Renee Jackson Case Manager/Care Coordinator 2587 Back Orrville Rd, Wooster, OH 44691-9523 2017-08-24
1124471123 Tamara Jackson Social Worker 3604 Canal St, New Orleans, LA 70119-6111 2016-07-14
1932557832 Tamara Jackson Social Worker 16 Coventry St, Hartford, CT 06112-1524 2016-06-01
1851764526 Tamara Jackson Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2015-11-03
1366882714 Tamara M Jackson Speech-Language Pathologist 53 Ash Dr, Hollywood, FL 33026-1102 2013-06-30

Office Location

Street Address 1725 I STREET NW
SUITE 300
City WASHINGTON
State DC
Zip Code 20006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063035228 Synapse Virtual Care Management, Inc Emergency Medicine 1701 Pennsylvania Ave, Northwest, Suite 200#pmb133, Washington, DC 20006 2020-05-22
1427687383 Arlene S Bein Social Worker 1725 Eye St N.w., Suite 300, Washington, DC 20006 2020-04-03
1336700160 Northrium Health LLC Internal Medicine 1673 K Street #300 Nw, Washington, DC 20006 2019-06-24
1376007674 I. Shand Counseling Pllc Counselor 16290 K St Nw, Suite 300, Washington, DC 20006 2019-01-31
1831653088 Faithnprogress Psychological Services, Pllc Psychologist 1627 K St., Nw, 4th Floor, Washington, DC 20006 2019-01-22
1598236697 Arilma Milagros St.clair I Nurse Practitioner 1889 F Street Nw, Tl-46 Health Unit, Washington, DC 20006 2018-12-16
1134699358 Petrina Laton Williams Social Worker 1300 I Street Nw, Ste 400, Washington, DC 20006 2018-11-30
1154890531 Victoria Albina Health & Wellness Nurse Practitioner 1915 I St. Nw, #700, Washington, DC 20006 2018-11-15
1730693953 Bar Lehmann Social Worker 1627 K St. Nw, Washington, DC 20006 2017-11-27
1982157202 Marc Luko Physical Therapist 2021 K St Nw Ste T125, Washington, DC 20006 2016-08-03
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033710959 Wanda H. Rappaport Psychologist 2440 M Street, Nw, Suite 512, Washington, DC 20037 2020-11-06
1023646254 Manuel Ira Gerton Psychologist 1325 18th St Nw Ste 105, Washington, DC 20036-6511 2020-04-01
1770114795 Ronald E. Hopson Psychologist 1710 R St Nw, Washington, DC 20009-2410 2020-01-29
1255961264 Nutan Nathoo Psychologist 1519 Connecticut Ave Nw, Washington, DC 20036-1115 2020-01-17
1548809924 William Bickart Psychologist 2832 Northampton St Nw, Washington, DC 20015-1110 2020-01-02
1538708391 Chanda Constance Mcmahan Psychologist 3320 Ames St. N.e., Washington, DC 20019 2019-12-27
1942858451 Kourtney Bell Psychologist 1100 Vermont Ave Nw Ste 450, Washington, DC 20005-6328 2019-08-28
1871146944 Engin Ontiveros Psychologist 37th and 0 Sts Nw 1 Darnall Hall Georgetown University, Washington, DC 20057-0001 2019-07-18
1659839496 Erin Gelzer Psychologist 1350 Connecticut Ave Nw Ste 308, Washington, DC 20036-1738 2019-03-11
1093288094 Jessica Macintyre Psychologist 3101 Wisconsin Ave Nw, Washington, DC 20016-5015 2019-01-02
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Competitor

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City WASHINGTON
Zip Code 20006

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Dataset Information

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.

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