AMANDA ARTESE JACKSON (NPI# 1952703365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952703365 |
| Entity Type | Individual |
| Full Name | AMANDA ARTESE JACKSON |
| Credential | PSY.D. |
| Practice Address |
1608 Newport Gap Pike Wilmington DE 19808-6208 |
| Practice Telephone | 3024404219 |
| Mailing Telephone | 3024404219 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
B1-0001006 | DE | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
05566 | MD | Behavioral Health & Social Service Providers |
| Street Address |
1608 NEWPORT GAP PIKE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-6208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487906558 | Megan E.f. White | Counselor | 1608 Newport Gap Pike, Wilmington, DE 19808 | 2012-10-12 |
| 1700405727 | The Center for Healing Conversations, LLC | Counselor | 1608 Newport Gap Pike, Wilmington, DE 19808-6208 | 2020-04-09 |
| 1659773877 | Tara Ferriola | Psychologist | 1608 Newport Gap Pike, Wilmington, DE 19808-6208 | 2014-09-18 |
| 1932452216 | Ann White | Counselor | 1608 Newport Gap Pike, Wilmington, DE 19808-6208 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547953 | Melanie F. Lipton | Psychologist | 1601 Kirkwood Hwy Fl 3, Wilmington, DE 19805-4917 | 2019-09-19 |
| 1063962512 | Toni D. Hickman, LLC | Psychologist | 36 Paxon Dr, Wilmington, DE 19803-2002 | 2016-10-08 |
| 1154771871 | Patricia Maynard | Psychologist | 230 Lowell St Ste 2-j, Wilmington, MA 01887-3087 | 2016-06-14 |
| 1881050904 | Toni Dean Hickman | Psychologist | 1813 Marsh Rd, Ste C, Wilmington, DE 19810-4544 | 2016-01-05 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1720383193 | Kristen Lane Sprout | Psychologist | 2417 Silverside Rd, Wilmington, DE 19810-4531 | 2011-01-17 |
| 1548564487 | Pamela Calvert-hirt | Psychologist | 326 Hampton Rd, Wilmington, DE 19803-2420 | 2011-01-07 |
| 1801199583 | Jill N Baillio | Psychologist | 205 S 5th Ave, Unit 3, Wilmington, NC 28401-4549 | 2010-12-17 |
| 1114151594 | Crossroads Counseling, P.C. | Psychologist | 4320 Wrightsville Ave, Suite B, Wilmington, NC 28403-6336 | 2009-05-13 |
| 1164663258 | Rah Inc. | Psychologist | 111 Chatham Pl, Wilmington, DE 19810-4441 | 2009-03-19 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
Please comment or provide details below to improve the information on AMANDA ARTESE 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.