Jackson Psychological Services, LLC
Psychologist, Clinical in Lancaster, New Hampshire
1396081295- Practice location
- 97 Main St, Lancaster, NH 03584-3063
- Phone
- 423-650-1851
- Fax
- —
- Last updated
- December 20, 2012
Jackson Psychological Services, LLC is a healthcare organization based in Lancaster, NH. Jackson Psychological Services, LLC practices in Lancaster, NH. The NPI Number for Jackson Psychological Services, LLC is 1396081295 and holds a License No. 1268 (NH). The current practice location address for Jackson Psychological Services, LLC is 97 Main St, Lancaster, NH 03584-3063 and can be reached out via phone at 423-650-1851.
Provider Profile Details
- NPI Number
- 1396081295
- Provider Name
- Jackson Psychological Services, LLC
- Provider Entity Type
- Organization
- Address
- 97 Main St, Lancaster, NH 03584-3063
- Phone Number
- 423-650-1851
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Trina Bothe Jackson, PSYD · Clinical Psychologist, Owner · 423-650-1851
- Provider Enumeration Date
- December 20, 2012
- Last Update Date
- December 20, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 97 Main St
Lancaster, NH 03584-3063 - City
- Lancaster
- State
- New Hampshire
- Zip
- 03584-3063
- Phone Number
- 423-650-1851
Provider Business Mailing Address Details
- Address
- 127 Elm St
Lancaster, NH 03584-3107 - City
- Lancaster
- State
- NH
- Zip
- 03584-3107
- Phone Number
- 423-650-1851
License Information
- License Number
- 1268
- License State
- NH
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jackson Psychological Services, LLC?
The NPI number of Jackson Psychological Services, LLC is 1396081295. It was assigned on December 20, 2012 and is currently active in the NPPES registry.
What is the specialty of Jackson Psychological Services, LLC?
Jackson Psychological Services, LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NH under license number 1268.
Where does Jackson Psychological Services, LLC practice?
The practice location is 97 Main St, Lancaster, NH 03584-3063. The office can be reached at 423-650-1851 (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 1396081295 directly on the NPPES registry website.