DR. JANE G JACKSON (NPI# 1902970726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902970726 |
| Entity Type | Individual |
| Full Name | DR. JANE G JACKSON |
| Credential | PHD PSYCHOLOGIST |
| Practice Address |
16519 Victor St Suite #406 Behavioral Health Consultants Victorville CA 92392 |
| Mailing Address |
Po Box #1993 Big Bear City CA 92314 |
| Practice Telephone | 7608430506 |
| Practice Fax Number | 7608430507 |
| Mailing Telephone | 9095849363 |
| Mailing Fax Number | 7608430507 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY11460 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295264604 | Jane Jackson | Registered Nurse | 9201 E. Mountain View Rd, 200, Scottsdale, AZ 85258 | 2017-06-08 |
| 1982811709 | Jane E Jackson | Psychologist | 3512 Sandy Ct, Kensington, MD 20895-1420 | 2007-05-17 |
| 1194708982 | Jane Jackson | Social Worker | Baumholder Health Clinic Social Work Services, Unit 23809, Box 52, Apo, AEA 09034 | 2005-11-25 |
| 1518456367 | Jane Jackson | Social Worker | 401 E Mcmillan St, Cincinnati, OH 45206-1922 | 2018-05-08 |
| 1649707654 | Jane Jackson | Counselor | 4460 S Highland Dr, Salt Lake City, UT 84124-3543 | 2017-05-22 |
| 1033449012 | Jane Flatley Jackson | Nurse Practitioner | 7362 Remcon Cir, El Paso, TX 79912-1623 | 2010-01-13 |
| 1801036306 | Jane M Jackson | Physical Therapy Assistant | 16838 E Palisades Blvd, Bldg B, Fountain Hills, AZ 85268-3845 | 2009-02-24 |
| Street Address |
16519 VICTOR ST SUITE #406 BEHAVIORAL HEALTH CONSULTANTS |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932765773 | Bahra and Associates | Psychologist | 15497 W Sand St, Victorville, CA 92392-2910 | 2019-05-17 |
| 1932605565 | Edwina Latasha Martin | Psychologist | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2018-04-03 |
| 1124567722 | Annabel Lee Fields | Psychologist | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2017-02-15 |
| 1467897413 | Douglas Owen Cacialli | Psychologist | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2013-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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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.