GRACE E. JACKSON, MD, PLLC (NPI# 1568863322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568863322 |
| Entity Type | Organization |
| Organization Name | GRACE E. JACKSON, MD, PLLC |
| Practice Address |
115 S Candy Ln Ste C2 Cottonwood AZ 86326-4188 |
| Practice Telephone | 9286496736 |
| Mailing Telephone | 9286496736 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | GRACE E JACKSON (CEO) |
| Authorized Official Telephone | 9286496736 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
46710 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
115 S CANDY LN STE C2 |
| City | COTTONWOOD |
| State | AZ |
| Zip Code | 86326-4188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073649745 | Patricia Jane Martin | Hearing Instrument Specialist | 115 S Candy Ln Ste C2, Cottonwood, AZ 86326-4188 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954895 | Isabelle Maisse Griffith | Pharmacist | 1100 E Highway 89a, Cottonwood, AZ 86326 | 2015-06-12 |
| 1184982266 | Northern Arizona Healthcare Provider Group, LLC | Family Medicine | 450 South Willard Street, Cottonwood, AZ 86326 | 2012-04-26 |
| 1922391663 | Ronald D. Carsrud | Hearing Instrument Specialist | 657 E Cottonwood St., Ste 6c, Cottonwood, AZ 86326 | 2011-05-26 |
| 1760712749 | Chuck Thomas Calvano | Pharmacist | 550 S Main, Cottonwood, AZ 86326 | 2010-01-13 |
| 1528231438 | Elizabeth Lightner Mccarrell | Emergency Medicine | 269 S Candy Lane, Cottonwood, AZ 86326 | 2008-04-11 |
| 1972783355 | The Wick Home for Emotional Growth and Recovery | Residential Treatment Facility, Emotionally Disturbed Children | 2102 E Fir St, Cottonwood, AZ 86326 | 2007-11-14 |
| 1750560165 | David T Sayle | Nurse Practitioner | 800 Cove Parkway, Cottonwood, AZ 86326 | 2007-11-01 |
| 1003001033 | Country Care Inc | Assisted Living Facility | 3980 E Cassie Lane, Cottonwood, AZ 86326 | 2007-09-12 |
| 1154527778 | Laurel A Mueller | Family Medicine | 51 Brian Mickelsen Pkwy, Community Health Center of Yavapai, Cottonwood, AZ 86326 | 2007-06-21 |
| 1841401700 | Bruce Alan Moseng | Chiropractor | 240 Jennifer Lane, Ste 103, Cottonwood, AZ 86326 | 2007-05-24 |
| Find all providers in zip 86326 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150216 | Andrea C Scott | Psychiatry & Neurology | 240 Jennifer Dr, Ste 204, Cottonwood, AZ 86326-4199 | 2005-08-03 |
| 1790382455 | Spectrum Healthcare Group, Inc. | Psychiatry & Neurology | 636 N Main St, Cottonwood, AZ 86326-3725 | 2020-10-06 |
| 1326277948 | Christhine Nuez | Psychiatry & Neurology | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2009-07-02 |
| 1487852380 | Courtney Mackin Keckich | Psychiatry & Neurology | 8 E Cottonwood St, Cottonwood, AZ 86326-6237 | 2007-07-03 |
| 1659460814 | Grace E Jackson | Psychiatry & Neurology | 115 S Candy Ln, Suite C2, Cottonwood, AZ 86326-4105 | 2006-10-12 |
| 1669408548 | Donald D Graber | Psychiatry & Neurology | 8 E Cottonwood St Bldg C, Verde Valley Guidance Clinic, Inc., Cottonwood, AZ 86326-6237 | 2006-06-23 |
| 1366497745 | Jehangir B Bastani Iv | Psychiatry & Neurology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2006-05-23 |
| 1366423238 | Francis S Gagliardi | Psychiatry & Neurology | 269 S Candy Ln, Cottonwood, AZ 86326-4158 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466244 | Adam Colbert Md, Pllc | Psychiatry & Neurology | 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 | 2020-10-30 |
| 1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1174148076 | Spark Healthcare LLC | Psychiatry & Neurology | 8906 North 80th Place, Scottsdale, AZ 85258-2132 | 2020-06-16 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1851922512 | Mettamerica | Psychiatry & Neurology | 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 | 2020-01-31 |
| 1003470840 | Katherine Cheeves Md, Pllc | Psychiatry & Neurology | 141 S Mccormick St Ste 112, Prescott, AZ 86303-4730 | 2019-04-26 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1053974071 | Siddesh Gopalakrishnan | Psychiatry & Neurology | Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 | 2019-04-16 |
| 1124681358 | Alexander Paul Lang | Psychiatry & Neurology | 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 | 2019-04-14 |
| Find all providers with the same taxonomy | ||||
| City | COTTONWOOD |
| Zip Code | 86326 |
Please comment or provide details below to improve the information on GRACE E. JACKSON, MD, PLLC.
| 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.