Dr. Julie H Jackson, PHD
Psychologist, Clinical in Concord, Massachusetts
1669677050- Practice location
- 747 Main St Ste 118, Concord, MA 01742-3333
- Phone
- 978-496-9076
- Fax
- —
- Last updated
- October 5, 2022
Julie Heim Jackson is a Psychologist, Clinical based in Concord, MA. Julie Heim Jackson practices in Concord, MA and has the professional credentials of PHD. The NPI Number for Julie Heim Jackson is 1669677050 and holds a License No. 9213 (MA). The current practice location address for Julie Heim Jackson is 747 Main St Ste 118, Concord, MA 01742-3333 and can be reached out via phone at 978-496-9076.
Provider Profile Details
- NPI Number
- 1669677050
- Provider Name
- Julie Heim Jackson
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 747 Main St Ste 118, Concord, MA 01742-3333
- Phone Number
- 978-496-9076
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 18, 2007
- Last Update Date
- October 5, 2022
- Certification Date
- October 5, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 747 Main St Ste 118
Concord, MA 01742-3333 - City
- Concord
- State
- Massachusetts
- Zip
- 01742-3333
- Phone Number
- 978-496-9076
Provider Business Mailing Address Details
- Address
- 42 Great Lake Dr
Sudbury, MA 01776-1567 - City
- Sudbury
- State
- MA
- Zip
- 01776-1567
- Phone Number
- 617-538-6856
License Information
- License Number (1)
- 9213
- License State (1)
- MA
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 9213
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (3)
- 9213
- License State (3)
- MA
- Taxonomy (3)
- 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 Dr. Julie H Jackson, PHD?
The NPI number of Dr. Julie H Jackson, PHD is 1669677050. It was assigned on June 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Julie H Jackson, PHD?
Dr. Julie H Jackson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9213.
Where does Dr. Julie H Jackson, PHD practice?
The practice location is 747 Main St Ste 118, Concord, MA 01742-3333. The office can be reached at 978-496-9076 (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 1669677050 directly on the NPPES registry website.