CARRIE RAE JACKSON (NPI# 1588935258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588935258 |
| Entity Type | Individual |
| Full Name | CARRIE RAE JACKSON |
| Credential | MS, BCBA |
| Practice Address |
10715 Babcock Blvd Gibsonia PA 15044-8977 |
| Practice Telephone | 4124989128 |
| Practice Fax Number | 7245024510 |
| Mailing Telephone | 4124989128 |
| Mailing Fax Number | 7245024510 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1-05-2589 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386207819 | Carrie Jackson | Registered Nurse | 4573 Belfast Dr, Columbus, OH 43227-2528 | 2019-04-19 |
| 1891054268 | Carrie B. Jackson | Registered Nurse | 157 Burke St Ste 119, Stockbridge, GA 30281-3444 | 2012-05-04 |
| 1215179320 | Carrie Ann Jackson | Counselor | 2721 Wyntercrest Ln, Durham, NC 27713-4518 | 2009-04-03 |
| 1225690043 | Carrie Jackson | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-07-01 |
| 1619324217 | Carrie Jackson | Registered Nurse | 1469 Humboldt Rd, Suite 200, Chico, CA 95928-9203 | 2016-05-24 |
| 1689965550 | Carrie Seiter Jackson | Counselor | 3740 Market Center Dr, Suite 1200, Riverton, UT 84065-8026 | 2011-04-27 |
| 1851595334 | Carrie Rose Klotz Jackson | Emergency Medicine | 134 Homer Ave, Cortland, NY 13045-1206 | 2007-06-11 |
| 1285720664 | Carrie Michele Jackson | Dietitian, Registered | 206 Rescia Ave, Rainbow City, AL 35906-5933 | 2006-10-05 |
| Street Address |
10715 BABCOCK BLVD |
| City | GIBSONIA |
| State | PA |
| Zip Code | 15044-8977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780132878 | Megan Foster | Nurse Practitioner | 5318 Randalli Dr, Gibsonia, PA 15044 | 2016-09-17 |
| 1710282702 | Jessica Mantella | Physician Assistant | 5321 William Flynn Highway, Gibsonia, PA 15044 | 2011-01-21 |
| 1750681623 | Lewis Fairbanks Nettrour | Orthopaedic Surgery | 6019 West Grove Cir, Gibsonia, PA 15044 | 2010-10-26 |
| 1881740876 | Frank A Ranalli Dds Association | Dentist | 5548 Route 8, Gibsonia, PA 15044 | 2007-01-25 |
| 1356401533 | Amy Bernett | Speech-Language Pathologist | 5827 Meridian Road, Gibsonia, PA 15044 | 2006-12-11 |
| 1891860821 | Timothy Charles Weber | Dentist | 5018 William Flinn Highway, Gibsonia, PA 15044 | 2006-11-22 |
| 1316048135 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 4101 Gibsonia Road, Gibsonia, PA 15044 | 2006-09-26 |
| 1679672588 | Eric Scott Bengel | Chiropractor | 5499 William Flynn Highway, Gibsonia, PA 15044 | 2006-09-21 |
| 1366550071 | Robert W Simmen | Chiropractor | 5476 William Flynn Hwy, Gibsonia, PA 15044 | 2006-08-25 |
| 1891801478 | Deborah Ruane Anderson | Nurse Practitioner | 11676 Perry Hwy St, Suite 1308, Wexford, PA 15044 | 2006-08-23 |
| Find all providers in zip 15044 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174679203 | Wesley Spectrum Services | Psychologist | 5499 William Flynn Hwy, Gibsonia, PA 15044-9675 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416959 | Ronald Dean | Psychologist | 1706 Golden Mile Road, Wysox, PA 18854-7708 | 2020-10-29 |
| 1215594460 | Neil Patrick Jones | Psychologist | 121 Meyran Ave Bldg Rm323, Pittsburgh, PA 15213-3308 | 2019-05-23 |
| 1962981860 | Ocd Spectrum, Inc | Psychologist | 307 4th Ave Ste 1100, Pittsburgh, PA 15222-2107 | 2018-08-10 |
| 1588143770 | Troy Psychological Services, Pllc | Psychologist | 122 Elmira St., Suite B, Troy, PA 16947-1202 | 2018-08-09 |
| 1326540592 | Julia West Phd LLC | Psychologist | 1005 Brookside Rd Ste 130, Allentown, PA 18106-9023 | 2018-03-05 |
| 1053848580 | Ronald Daniels | Psychologist | 2570 Terraced Hill Ct, Pottstown, PA 19464-3146 | 2017-05-15 |
| 1376088591 | Diane Jarin | Psychologist | 1528 Montgomery Ave, Bryn Mawr, PA 19010-1658 | 2016-12-23 |
| 1427412170 | James M Mcfalls | Psychologist | 212 Idris Rd, C-2, Merion Station, PA 19066-1633 | 2016-04-08 |
| 1598134231 | Lidia Estrada Cordero | Psychologist | 2817 Fairview St, Bethlehem, PA 18020-5505 | 2015-09-23 |
| 1568841187 | Elizabeth Turner Stinson | Psychologist | 37 S. Clinton St., Doylestown, PA 18901 | 2015-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARRIE RAE JACKSON.
| 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.