TAMMY J JACKSON (NPI# 1235294018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235294018 |
| Entity Type | Individual |
| Full Name | TAMMY J JACKSON |
| Credential | LICENSED PSYCHOLOGIS |
| Practice Address |
1272 Ne Windsor Dr Lees Summit MO 64086-5594 |
| Practice Telephone | 8162464465 |
| Mailing Telephone | 8162464465 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 01757 | MO | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
01757 | MO | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
01757 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972767994 | Tammy Jackson | Behavioral Analyst | 556 New Park Ave Ste A, West Hartford, CT 06110-1317 | 2008-07-18 |
| 1619958758 | Tammy Lynn Jackson | Psychologist | 4201 Whispering Creek Dr, College Station, TX 77845-4054 | 2005-11-07 |
| 1467990671 | Tammy Jackson | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2017-02-08 |
| 1538567573 | Tammy M Jackson | Licensed Practical Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2014-12-08 |
| 1093736720 | Tammy S Jackson | Nurse Practitioner | 300 20th Ave N, Ste 301, Nashville, TN 37203-2131 | 2006-07-21 |
| 1497783146 | Tammy T. Jackson | Emergency Medicine | 2525 Desales Avenue, Chattanooga, TN 37404 | 2006-06-30 |
| 1558345371 | Tammy Z Jackson | Nurse Practitioner | 716 S Main St, Ripley, MS 38663-2909 | 2005-12-05 |
| 1275533366 | Tammy L. Jackson | Nurse Anesthetist, Certified Registered | 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | 2005-07-29 |
| Street Address |
1272 NE WINDSOR DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928983 | Elaine Rudd Strid | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086 | 2005-08-03 |
| 1538766381 | Aeriel Feeback | Social Worker | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2020-10-05 |
| 1487289062 | Dawn Clendenen-moon | Social Worker | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2020-03-04 |
| 1053962019 | Eileen Fratzke | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2019-09-21 |
| 1427609494 | Sean Joseph Dowling | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2019-09-21 |
| 1346721826 | Alan Dale Harris | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2018-08-23 |
| 1336650555 | Amy Marie Dublinske | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2017-10-15 |
| 1013444322 | Megan Elizabeth Deaver | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2017-05-17 |
| 1750839650 | Courtney Fall | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2016-09-20 |
| 1689034118 | Krystina Erichsen | Counselor | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2016-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| 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 |
|---|---|---|---|---|
| 1952449613 | Tamara S Byergo | Psychologist | 5103 Sw Surf Scooter St, Lees Summit, MO 64082-4599 | 2007-02-02 |
| 1942283478 | Robin Lauree Larson-molzen | Psychologist | 1808 Ne Burgandy Cir, Lees Summit, MO 64086-5961 | 2005-11-29 |
| 1609347871 | Aastha Gupta | Psychologist | 300 Se 2nd St, Lees Summit, MO 64063-2759 | 2018-12-16 |
| 1104210640 | Clara Elliott | Psychologist | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2015-03-23 |
| 1477882868 | Wellspring Ministries | Psychologist | 1272 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2009-12-14 |
| 1417033895 | Jason Carter Fairman | Psychologist | 2900 Sw 13th St, Lees Summit, MO 64081-3800 | 2006-10-28 |
| 1881782779 | Amelia R Harris | Psychologist | 200 Ne Missouri Rd, Lees Summit, MO 64086-4722 | 2006-10-10 |
| 1164517389 | Virginia Campbell | Psychologist | 4045 Ne Lakewood Way Ste 130, Lees Summit, MO 64064 | 2006-10-04 |
| 1215021068 | Kathryn S Roberts | Psychologist | 409 Se Douglas St, Lees Summit, MO 64063-4246 | 2006-10-03 |
| 1740290063 | Carl Stanley Marr | Psychologist | 901 Ne Independence Ave, Lees Summit, MO 64086-5544 | 2006-08-09 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
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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.