Jackson Clinic LLC
Psychiatry & Neurology, Psychiatry in Lexington, Massachusetts
1235873811- Practice location
- 33 Bedford St Ste 11, Lexington, MA 02420-4403
- Phone
- 781-825-5390
- Fax
- —
- Last updated
- April 21, 2022
Jackson Clinic LLC is a healthcare organization based in Lexington, MA. Jackson Clinic LLC practices in Lexington, MA. The NPI Number for Jackson Clinic LLC is 1235873811. The current practice location address for Jackson Clinic LLC is 33 Bedford St Ste 11, Lexington, MA 02420-4403 and can be reached out via phone at 781-825-5390.
Provider Profile Details
- NPI Number
- 1235873811
- Provider Name
- Jackson Clinic LLC
- Provider Entity Type
- Organization
- Address
- 33 Bedford St Ste 11, Lexington, MA 02420-4403
- Phone Number
- 781-825-5390
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- No
- Authorized Official
- Dr. Annise Jackson, MD · Ceo · 781-825-5390
- Provider Enumeration Date
- April 21, 2022
- Last Update Date
- April 21, 2022
- Certification Date
- April 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Bedford St Ste 11
Lexington, MA 02420-4403 - City
- Lexington
- State
- Massachusetts
- Zip
- 02420-4403
- Phone Number
- 781-825-5390
Provider Business Mailing Address Details
- Address
- 20 2ND Ave Apt 512
Burlington, MA 01803-4463 - City
- Burlington
- State
- MA
- Zip
- 01803-4463
- Phone Number
- 228-712-0012
License Information
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Psychiatry providers near Lexington, MA
View all Psychiatry & Neurology, Psychiatry providers in Lexington →- Dr. Annise Jackson, MDPsychiatry & Neurology, Psychiatry · NPI 1770979858
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- Theodore P Wasik, MDPsychiatry & Neurology, Psychiatry · NPI 1003025776
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Frequently Asked Questions
What is the NPI number of Jackson Clinic LLC?
The NPI number of Jackson Clinic LLC is 1235873811. It was assigned on April 21, 2022 and is currently active in the NPPES registry.
What is the specialty of Jackson Clinic LLC?
Jackson Clinic LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).
Where does Jackson Clinic LLC practice?
The practice location is 33 Bedford St Ste 11, Lexington, MA 02420-4403. The office can be reached at 781-825-5390 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235873811 directly on the NPPES registry website.