DR. ELIZABETH BETI JACKSON (NPI# 1275885527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275885527 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH BETI JACKSON |
| Credential | PSY.D. |
| Practice Address |
6655 E Us Highway 36 Avon IN 46123-8923 |
| Mailing Address |
1964 Rhettsbury St Carmel IN 46032-7295 |
| Practice Telephone | 3172723330 |
| Practice Fax Number | 3172720807 |
| Mailing Telephone | 3173836883 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20048162A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743287 | Elizabeth Jane Jackson | Physical Therapist | 2241 Great Rock Rd, Vestavia Hills, AL 35216-2121 | 2020-09-06 |
| 1477018588 | Elizabeth C Jackson | Counselor | 13300 W 6th Ave # 22a, Lakewood, CO 80228-1255 | 2019-02-02 |
| 1619413861 | Elizabeth Marie Jackson | Nurse Practitioner | 123 Brooke Ln Ne, Cleveland, TN 37312-7416 | 2017-01-12 |
| 1699130245 | Elizabeth Grace Jackson | Counselor | Philhaven 283 Butler Road, Mt Gretna, PA 17064 | 2015-12-28 |
| 1649694233 | Elizabeth Arlene Jackson | Counselor | 922 12th St, Rawlins, WY 82301-6517 | 2014-02-18 |
| 1477882272 | Elizabeth Wood Jackson | Psychologist | 122 Saint Marys St, Raleigh, NC 27605-1809 | 2009-12-08 |
| 1104091784 | Elizabeth A Jackson | Specialist | 94 Auburn St Ste 106, Portland, ME 04103-2141 | 2008-04-24 |
| 1801095898 | Elizabeth Osborne Jackson | Dentist | 317 Rosewood St, Irondale, AL 35210-3116 | 2007-07-11 |
| 1295834893 | Elizabeth Marie Jackson | Physician Assistant | 515 Wekiva Commons Circle, Apopka, FL 32712 | 2006-09-21 |
| 1902420466 | Elizabeth Detweiler Jackson | Registered Nurse | 42 Town St Ste 300, Norwich, CT 06360-2339 | 2020-06-01 |
| Street Address |
6655 E US HIGHWAY 36 |
| City | AVON |
| State | IN |
| Zip Code | 46123-8923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588527 | Larry Beeler | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2005-06-17 |
| 1396346623 | Adair Lynn Mcdonald | Counselor | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2020-11-03 |
| 1548874258 | Louise Magiera | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2020-09-01 |
| 1912518457 | Jessalyn Rose Harrington | Marriage & Family Therapist | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2020-08-10 |
| 1477192656 | Elizabeth Ann Craig | Counselor | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2020-01-05 |
| 1083263370 | Celia Freeman | Counselor | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-09-09 |
| 1497301246 | Yasmine Bond Ali | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-08-16 |
| 1285289512 | Chelsea Nicole Anderson | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-08-05 |
| 1154980761 | Erika Julia Forslund | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-06-07 |
| 1427616721 | Robyn Danielle Crumpacker | Social Worker | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2019-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644230 | Stacie Freudenberg | Psychologist | 1060 W. Beaver Creek Blvd, Avon, CO 81620 | 2017-08-09 |
| 1932561222 | Farmington Valley Integrative Therapy, LLC | Psychologist | 35 Tower Ln Ste 104, Avon, CT 06001-4237 | 2016-03-24 |
| 1467609065 | Christi M Orlowski | Psychologist | 21 Waterville Road, Avon, CT 06001 | 2008-08-26 |
| 1245494343 | Hsiao-ching Chu | Psychologist | 1 Darling Dr Ste 16, Avon, CT 06001-4244 | 2008-07-17 |
| 1912160417 | Tina Z Fleishman | Psychologist | 30 Benchmark Road, Suite 224, Avon, CO 81620 | 2008-07-03 |
| 1285768754 | Susan J Sampl | Psychologist | 34 Dale Rd Ste 212, Avon, CT 06001-3659 | 2007-03-15 |
| 1427121433 | Jay Rogers Beatman | Psychologist | 46 W Avon Rd, Ste 302, Avon, CT 06001-3679 | 2006-11-16 |
| 1205913340 | Wendy F Habelow | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1053335232 | Henry J. Goetze | Psychologist | 100 W. Beaver Creek Blvd, Suite 218, Avon, CO 81620-8572 | 2006-07-27 |
| 1073567889 | Doris Odell Ryan | Psychologist | 6655 Us 36 East, Cummins Behavioral Health Services, Avon, IN 46123 | 2006-05-19 |
| Find all providers in AVON | ||||
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| 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.