JANE E JACKSON (NPI# 1982811709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982811709 |
| Entity Type | Individual |
| Full Name | JANE E JACKSON |
| Credential | M.D. |
| Practice Address |
3512 Sandy Ct Kensington MD 20895-1420 |
| Mailing Address |
3513 Sandy Ct Kensington MD 20895-1420 |
| Practice Telephone | 3014662562 |
| Practice Fax Number | 3019499666 |
| Mailing Telephone | 3014662562 |
| Mailing Fax Number | 3019499666 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
D0028973 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 385639 | MAMSI MAPSI | 01 | |
| MD | CAREFIRST BCBS | 343BJE | 01 |
| DC | CAREFIRST BCBS | K1240001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295264604 | Jane Jackson | Registered Nurse | 9201 E. Mountain View Rd, 200, Scottsdale, AZ 85258 | 2017-06-08 |
| 1902970726 | Jane G Jackson | Psychologist | 16519 Victor St Suite #406, Behavioral Health Consultants, Victorville, CA 92392 | 2006-11-20 |
| 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 |
3512 SANDY CT |
| City | KENSINGTON |
| State | MD |
| Zip Code | 20895-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760015457 | Express Yourself Therapy | Occupational Therapist | 3930 Kowles Ave Suite 306, Kensington, MD 20895 | 2020-02-20 |
| 1891343992 | Christine Brandt | Nurse Practitioner | 10605 Concord St Ste 300, Kensington, MD 20895 | 2019-09-01 |
| 1194291765 | Kevin Charles Lorello | Physical Therapy Assistant | Kensington Park, 3620 Littledale Rd, Kensington, MD 20895 | 2018-10-22 |
| 1689154981 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895 | 2018-08-16 |
| 1659865673 | Edward Li | Pharmacist | 5110 Nicholson Lane, Kensington, MD 20895 | 2018-06-22 |
| 1245735919 | Kyeshia White | Behavior Technician | 5268-g Nicholson Lane #188, Kensington, MA 20895 | 2018-03-26 |
| 1073036778 | Andrea Zawatsky | Social Worker | 20895 Concord St, 207, Kensington, MD 20895 | 2017-07-25 |
| 1871981860 | Rebecca Abramson | Counselor | 3702 Perry Ave, Kensington, MD 20895 | 2014-12-30 |
| 1730505744 | Claire Lerner | Social Worker | 3841 Farragut Avenue, Abrams and Associates, Kensington, MD 20895 | 2014-03-14 |
| 1588002224 | Yitbarek Abebe | Pharmacist | 3200 Red Orchid Way, Kensington, MD 20895 | 2013-06-04 |
| Find all providers in zip 20895 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512543 | Michael Brody | Psychologist | 10412 Crossing Creek Rd, Potomac, MD 20854-4201 | 2008-06-20 |
| 1811509805 | United Counseling and Support Services | Psychologist | 9701 Apollo Dr Ste 100, Upper Marlboro, MD 20774-4785 | 2020-08-20 |
| 1134656747 | Dennis Gates, Mental Health LLC | Psychologist | 9500 Arena Dr, Suite 432, Largo, MD 20774-3701 | 2017-05-12 |
| 1063809549 | Chesapeake Psychological Services | Psychologist | 8607 Cedar St, Silver Spring, MD 20910-4324 | 2015-04-22 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1174961700 | The Robert Sylvia Group | Psychologist | 1800 N Charles St, Suite 206, Baltimore, MD 21201-5920 | 2013-06-05 |
| 1518117761 | Carroll Counseling Center, LLC | Psychologist | 1380 Progress Way, Suite 101, Eldersburg, MD 21784-6464 | 2008-09-24 |
| 1780853325 | Shore Psychiatric Associates, LLC | Psychologist | 8221 Teal Dr, Suite 406, Easton, MD 21601-7227 | 2008-02-28 |
| 1467663989 | Mark Weist | Psychologist | 701 W Pratt St, Baltimore, MD 21201-1023 | 2007-05-25 |
| 1730143991 | Emerald Health Center, Inc | Psychologist | 217 Main St, Reisterstown, MD 21136-1213 | 2006-04-14 |
| Find all providers with the same taxonomy | ||||
| City | KENSINGTON |
| Zip Code | 20895 |
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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.