DR. JON GUSTAF JACKSON


Address: 1335 North Dutton Ave, Santa Rosa, CA 95401
Phone: 7075798703

DR. JON GUSTAF JACKSON (NPI# 1598840472) 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) 1598840472
Entity Type Individual
Full Name DR. JON GUSTAF JACKSON
Credential M.D.
Practice Address 1335 North Dutton Ave
Santa Rosa
CA 95401
Practice Telephone 7075798703
Practice Fax Number 7075798755
Mailing Telephone 7075798703
Mailing Fax Number 7075798755
Enumeration Date 2006-10-26
Last Update Date 2011-12-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
G61427 CA Allopathic & Osteopathic Physicians

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1285886051 Jon R Jackson Counselor 337 Fowler St, Roseburg, OR 97470 2008-10-10
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1093724551 Jon C Jackson Specialist 4770 S Ridgewood Ave, Port Orange, FL 32127-4544 2006-08-05
1740254978 Jon Ryan Jackson Plastic Surgery 1890 Sw Health Pkwy, Suite 301, Naples, FL 34109-0473 2006-02-14
1013909118 Jon Richard Jackson Internal Medicine 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 2005-08-16

Office Location

Street Address 1335 NORTH DUTTON AVE
City SANTA ROSA
State CA
Zip Code 95401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053341073 Mounir Belcadi Specialist 1335 North Dutton Ave, Santa Rosa, CA 95401 2006-07-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
Find all providers in zip 95401

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174069371 Wellmind Center, A Medical Corporation Psychiatry & Neurology 1400 N. Dutton Avenue, Suite #6, Santa Rosa, CA 95401-4644 2017-01-11
1508132309 Cuyler Burns Goodwin Psychiatry & Neurology 1506 4th St, Santa Rosa, CA 95404-4018 2012-03-26
1194987255 North Bay Psychiatric Associates Inc Psychiatry & Neurology 3410 Mendocino Ave, Santa Rosa, CA 95403-2244 2008-06-30
1376728022 Lorette Marie Labataille Psychiatry & Neurology 509 7th St Ste 100, Santa Rosa, CA 95401-5297 2007-12-31
1457546517 Roswell Messing IIi Psychiatry & Neurology 633 Cherry Street, Santa Rosa, CA 95404 2007-09-12
1164615589 Anish Sunderrajan Shah Psychiatry & Neurology 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 2007-08-20
1184824625 Robert Elias Psychiatry & Neurology 2329 Parkwood Ct, Santa Rosa, CA 95409-2625 2007-07-23
1114073129 Aleta Drummond Psychiatry & Neurology 1605 4th St, Suite D, Santa Rosa, CA 95404-4036 2007-01-25
1174676738 Murray L Zucker Psychiatry & Neurology 2455 Bennett Valley Rd Ste C210, Santa Rosa, CA 95404-5671 2007-01-18
1013078625 Neil P. Ehrlich Psychiatry & Neurology 3322 Chanate Rd., Santa Rosa, CA 95404 2006-12-13
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95401

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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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