Active NPIIndividual provider

Dr. William C Jackson, PSYD

Psychologist, Health in Boston, Massachusetts

NPI Number1487933438
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
February 6, 2017

William Charles Jackson is a Psychologist, Health based in Boston, MA. William Charles Jackson practices in Boston, MA and has the professional credentials of PSYD. The NPI Number for William Charles Jackson is 1487933438. The current practice location address for William Charles Jackson is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 857-891-1828.

Provider Profile Details

NPI Number
1487933438
Provider Name
William Charles Jackson
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
857-891-1828
Primary Taxonomy
Psychologist, Health · 103TH0004X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2011
Last Update Date
February 6, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
857-891-1828
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
19 Haslet St # 1
Boston, MA 02131-2933
City
Boston
State
MA
Zip
02131-2933
Phone Number
857-891-1828

License Information

Taxonomy
Psychologist, Health · 103TH0004X · 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. William C Jackson, PSYD?

The NPI number of Dr. William C Jackson, PSYD is 1487933438. It was assigned on August 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. William C Jackson, PSYD?

Dr. William C Jackson, PSYD is registered under the primary taxonomy Psychologist, Health (code 103TH0004X).

Where does Dr. William C Jackson, PSYD practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 857-891-1828 (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 1487933438 directly on the NPPES registry website.

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