Elizabeth S Jackson (NPI# 1013932276, PAC ID# 9830153360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1013932276 |
| PAC ID by PECOS | 9830153360 |
| Professional Enrollment ID | I20041115001152 |
| Full Name | Elizabeth S Jackson |
| Organization Legal Name | CENTERSTONE OF KENTUCKY, INC |
| Address |
2141 Spencer Ct La Grange KY 40031-6742 |
| Phone Number | 5022227201 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 1759294424 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2141 Spencer Ct, La Grange, KY 40031-6742 | 5022227201 | CENTERSTONE OF KENTUCKY, INC |
| 530 S Jackson St, Louisville, KY 40202-1675 | 5025891100 | CENTERSTONE OF KENTUCKY, INC |
| Organization Legal Name | CENTERSTONE OF KENTUCKY, INC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Goebel | Clinical Social Worker | Centerstone of Kentucky, Inc | 101 W Muhammad Ali Blvd, Louisville, KY 40202-1423 |
| Donna M Mcrae-toney | Clinical Social Worker | Centerstone of Kentucky, Inc | 2105 Crums Lane, Louisville, KY 40216-4231 |
| Penny Moers | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Christina Gaines | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Susan B Buckman | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Erin E Schilling | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Joanna L Nahinsky | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Nancy E Renick | Clinical Social Worker | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Candace M Shireman | Nurse Practitioner | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Rachel C Fitzgerald | Psychologist, Clinical | Centerstone of Kentucky, Inc | 530 S Jackson St, Louisville, KY 40202-1675 |
| Street Address |
2141 SPENCER CT |
| City | LA GRANGE |
| State | KY |
| Zip | 40031-6742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott T Hedges | Psychiatry | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Monica M Halappanavar | Psychiatry | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Jeffrey E Prater | Nurse Practitioner | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Heidi L Solarz-kutz | Clinical Social Worker | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Amanda J Bell | Nurse Practitioner | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Carolyn A Ragsdale | Clinical Social Worker | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Regina L Woods | Nurse Practitioner | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Amy P Shah | Psychiatry | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Tammy M Geary | Nurse Practitioner | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Gayle M Mink | Nurse Practitioner | Centerstone of Kentucky, Inc | 2141 Spencer Ct, La Grange, KY 40031-6742 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lagenia K Wright | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Sandra L Savage | Emergency Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Troy W Kaiser | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Taylor Lee Snyders | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Dennis Mcgill | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mary L Barresi | Internal Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Robert Hehre | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mika L Bates | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Lido Petrucci | Chiropractic | 301 S 1st St, Lagrange, KY 40031-1240 | |
| Laurence Preble | Chiropractic | 102 W Madison St, La Grange, KY 40031-1428 | |
| Find all physicians in zip 40031 | |||
| City | LA GRANGE |
| Zip Code | 40031 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LA GRANGE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Elizabeth S 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.