Fredericka A Jackson (NPI# 1922089531, PAC ID# 4284699422) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1922089531 |
| PAC ID by PECOS | 4284699422 |
| Professional Enrollment ID | I20091104000027 |
| Full Name | Fredericka A Jackson |
| Address |
22266 Civic Ctr Dr Apt 111 Southfield MI 48033-2633 |
| Gender | F |
| Credential | PSY |
| Graduation Year | 1997 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22266 Civic Ctr Dr, Apt 111, Southfield, MI 48033-2633 |
| Street Address |
22266 CIVIC CTR DR APT 111 |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48033-2633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salim Meram | Internal Medicine | Henry Ford Health System | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 |
| Dina F Ibrahim | Family Medicine | Henry Ford Health System | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 |
| Farvah Fatima | Family Medicine | Henry Ford Health System | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 |
| Frederic C Sulak | Cardiovascular Disease (cardiology) | Henry Ford Health System | 22777 W 11 Mile Rd, Southfield, MI 48033-2152 |
| Keith Martin Metz | Anesthesiology | 26051 Lahser Rd, Southfield, MI 48033-2601 | |
| Sandra Kay Aretha | Occupational Therapy | Michigan Orthopaedic Surgeons Pllc | 26025 Lahser Rd, Fl 2, Southfield, MI 48033-2606 |
| Daniel A Sapeika | Anesthesiology | American Anesthesiology of Michigan PC | 26025 Lahser Rd, Southfield, MI 48033-2606 |
| Donna T Seymour | Nurse Practitioner | Michigan Orthopaedic Surgeons Pllc | 26025 Lahser Rd, Fl 2, Southfield, MI 48033-2606 |
| David J Collon | Orthopedic Surgery | Michigan Orthopaedic Surgeons Pllc | 26025 Lahser Rd, Fl 2, Southfield, MI 48033-2606 |
| Rebecca Rallo Clemans | Anesthesiology | American Anesthesiology of Michigan PC | 26025 Lahser Rd, Southfield, MI 48033-2606 |
| Find all physicians in zip 48033 | |||
| City | SOUTHFIELD |
| Zip Code | 48033 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | SOUTHFIELD + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Fredericka A Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.