DR. CHARLES WESLEY JACKSON JR. (NPI# 1437224813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437224813 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WESLEY JACKSON JR. |
| Other Name | C WESLEY JACKSON JR. |
| Credential | PH D |
| Practice Address |
2980 Washington Blvd Cleveland Heights OH 44118-2450 |
| Practice Telephone | 2163219355 |
| Practice Fax Number | 2169323341 |
| Mailing Telephone | 2163219355 |
| Mailing Fax Number | 2169323341 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSYCHOLOGIST 000 | MI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSYCHOLOGIST 474 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0253309 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457896839 | Charles Jackson | Counselor | 2911 Penick St, Shreveport, LA 71109-4337 | 2016-12-21 |
| 1043655681 | Charles D Jackson | Driver | 4856 W.12th, Suite 1, Cleveland, OH 44109-3424 | 2013-05-09 |
| 1437594553 | Charles Jackson | Social Worker | 18712 Quarry St, Riverview, MI 48193-4527 | 2013-05-02 |
| 1508154105 | Charles Gilbert Jackson Jr. | Psychiatry & Neurology | 88 Crescent St, Northampton, MA 01060-2115 | 2011-07-16 |
| 1457669848 | Charles Edward Jackson Jr. | Psychologist | 1407 Healing Water Lane, N.las Vegas, NV 89031 | 2010-09-20 |
| 1588994081 | Charles Dustin Jackson | Counselor | 5004 Nw 26th St, Oklahoma City, OK 73127-1722 | 2010-01-05 |
| 1508985250 | Charles Arthur Jackson Jr. | Chiropractor | 2455 E Hill Rd, Grand Blanc, MI 48439 | 2007-03-27 |
| 1760535926 | Charles Jackson | Podiatrist | 820 N Dalmont St, Hobbs, NM 88240-5214 | 2007-01-19 |
| 1982769840 | Charles Jackson | Dentist | 3540 82nd St, Jackson Heights, NY 11372-5159 | 2006-12-22 |
| 1306929856 | Charles Russell Jackson | Dentist | 1 Med Center Dirve, Morgantown, WV 26506 | 2006-10-20 |
| Street Address |
2980 WASHINGTON BLVD |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44118-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720202500 | C Wesley Jackson Jr Phd Inc | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237713 | Alison Marie Meehan | Counselor | 22001, Shaker Heights, OH 44118 | 2020-05-28 |
| 1437788593 | Tierra Banks | Community Health Worker | 3 Severance Circle #18618, Cleveland Heights, OH 44118 | 2020-04-02 |
| 1881220382 | Equillia Forte-mostella | Home Health Aide | 1629 Ivydale Rd, Cleveland Hts, OH 44118 | 2020-03-16 |
| 1225673080 | Karen Dames | Technician | 3260 Tullamore Rd., Cleveland Heights, OH 44118 | 2019-11-15 |
| 1285278325 | Vernessa Faye Jackson | Counselor | 22101 Fairmount Blvd, Shaker Heights, OH 44118 | 2019-11-01 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1073009155 | Clarence Taylor | Counselor | 2490 Leeblvd, Cleveland, OH 44118 | 2018-07-02 |
| 1992290258 | Janet Spruill | Counselor | 2490 Lee Blvd Ste 107, Cleveland Heights, OH 44118 | 2018-06-28 |
| 1295229532 | Marcia Webster | Nurse's Aide | 3810 Grosvenor, South Euclid, OH 44118 | 2018-06-20 |
| 1508350067 | Adam M Oulton | Case Manager/Care Coordinator | 22001 Fairmont Boulevard, Shaker Heights, OH 44118 | 2018-06-19 |
| Find all providers in zip 44118 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954036 | Richard Tyler Jr. | Psychologist | 12970 Cedar Rd, Cleveland Heights, OH 44118-2739 | 2015-06-11 |
| 1730354010 | Michelle F Harris | Psychologist | 2889 N Park Blvd, Cleveland Heights, OH 44118-4030 | 2008-04-28 |
| 1629240502 | Frederick John Damankos | Psychologist | 2346 Demington Dr, Suite 2, Cleveland Heights, OH 44106-3618 | 2008-03-31 |
| 1194874206 | Pauline Benjamin | Psychologist | 1111 Castleton Rd, Cleveland Heights, OH 44121-1521 | 2007-01-09 |
| 1679642581 | Carolee Kuhns Lesyk | Psychologist | 2460 Fairmount Blvd Ste 209, Cleveland Heights, OH 44106-3125 | 2006-11-06 |
| 1811915119 | George Atwood | Psychologist | 2189 Lamberton Rd, Cleveland Heights, OH 44118-2811 | 2006-07-17 |
| 1023043999 | Terri Michele Perelman-hall | Psychologist | 2936 E Overlook Rd, Cleveland Heights, OH 44118-2434 | 2006-07-11 |
| 1659781052 | Natalie Reiss | Psychologist | 12429 Cedar Rd, Cleveland Heights, OH 44106-3199 | 2014-05-07 |
| 1720202500 | C Wesley Jackson Jr Phd Inc | Psychologist | 2980 Washington Blvd, Cleveland Heights, OH 44118-2450 | 2007-04-12 |
| 1558442228 | Leighann Hock Forsyth | Psychologist | 12429 Cedar Rd, Suite 9, Cleveland Heights, OH 44106-3199 | 2006-10-18 |
| Find all providers in CLEVELAND HEIGHTS | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44118 |
Please comment or provide details below to improve the information on DR. CHARLES WESLEY JACKSON JR..
| 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.