DR. TENIKA LOUISE JACKSON (NPI# 1114052818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114052818 |
| Entity Type | Individual |
| Full Name | DR. TENIKA LOUISE JACKSON |
| Credential | PSY.D. |
| Practice Address |
8220 S San Pedro St Los Angeles CA 90003-3030 |
| Mailing Address |
3651 S Labrea Ave Suite 699 Los Angeles CA 90016-5300 |
| Practice Telephone | 3235652300 |
| Mailing Telephone | 2139442200 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22468 | CA | Behavioral Health & Social Service Providers |
| Street Address |
8220 S SAN PEDRO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526262 | Elisabet Medina | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2020-04-07 |
| 1265073316 | Sherrion Rasco | Social Worker | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-09-30 |
| 1144870130 | Riana Bell | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-09-12 |
| 1578118220 | Ayanna Monique Brown | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-08-08 |
| 1710539218 | Jasmine Rose | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-07-15 |
| 1902467681 | Tiiunique Turner | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-06-24 |
| 1104383991 | Nicole Hymes | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-02-27 |
| 1114483724 | Shelbie M Jackson | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-02-19 |
| 1548724453 | Amber Nicole Tellez | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2019-01-24 |
| 1417426016 | Cherise Austin | Case Manager/Care Coordinator | 8220 S San Pedro St, Los Angeles, CA 90003-3030 | 2018-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1619407483 | Tonja Benetta Jordan | Registered Nurse | 5850 South Main St, Los Angeles, CA 90003 | 2017-06-14 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| Find all providers in zip 90003 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
Please comment or provide details below to improve the information on DR. TENIKA LOUISE JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.