Active NPIIndividual provider

Dr. Rebekah Jackson, PSYD

Psychologist in New Haven, Connecticut

NPI Number1245523448
Practice location
446A Blake St, Suite 200, New Haven, CT 06515-1286
Fax
888-772-2160
Last updated
July 2, 2012

Rebekah Jackson is a Psychologist based in New Haven, CT. Rebekah Jackson practices in New Haven, CT and has the professional credentials of PSYD. The NPI Number for Rebekah Jackson is 1245523448 and holds a License No. 003182 (CT). The current practice location address for Rebekah Jackson is 446A Blake St, Suite 200, New Haven, CT 06515-1286 and can be reached out via phone at 203-387-9400 and via fax at 888-772-2160.

Provider Profile Details

NPI Number
1245523448
Provider Name
Rebekah Jackson
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
446A Blake St, Suite 200, New Haven, CT 06515-1286
Phone Number
203-387-9400
Fax Number
888-772-2160
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
May 20, 2011
Last Update Date
July 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
446A Blake St
Suite 200
New Haven, CT 06515-1286
Zip
06515-1286
Phone Number
203-387-9400
Fax Number
888-772-2160
New Haven, CT 06515Get directions →

Provider Business Mailing Address Details

Address
446A Blake St
Suite 200
New Haven, CT 06515-1286
City
New Haven
State
CT
Zip
06515-1286
Phone Number
203-387-9400
Fax Number
888-772-2160

License Information

License Number (2)
003182
License State (2)
CT
Taxonomy (2)
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Rebekah Jackson, PSYD?

The NPI number of Dr. Rebekah Jackson, PSYD is 1245523448. It was assigned on May 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Rebekah Jackson, PSYD?

Dr. Rebekah Jackson, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 003182.

Where does Dr. Rebekah Jackson, PSYD practice?

The practice location is 446A Blake St, Suite 200, New Haven, CT 06515-1286. The office can be reached at 203-387-9400 (phone) or 888-772-2160 (fax).

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 1245523448 directly on the NPPES registry website.

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