DR. WILLIAM SPENCER JACKSON (NPI# 1366585226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366585226 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM SPENCER JACKSON |
| Credential | PHD |
| Practice Address |
880 W 12th St Reno NV 89503-2601 |
| Practice Telephone | 7759825318 |
| Mailing Telephone | 7757461869 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2010-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LADC 00248-L | NV | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0264 | NV | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
13587 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901603 | William Jackson | Case Manager/Care Coordinator | 1001 W Broadway Ste B, Farmington, NM 87401-5638 | 2016-02-01 |
| 1104237338 | William Jackson | Surgery | 101 S Ravenel St Ste 230, Florence, SC 29506-2624 | 2014-05-09 |
| 1851646129 | William Jackson | Specialist | 5 Shorewood Ln, Centerport, NY 11721-1731 | 2012-07-23 |
| 1083904502 | William Materson Jackson | Registered Nurse | 1730 Brunswick Dr, Blacksburg, VA 24060-1988 | 2011-04-18 |
| 1912231721 | William Roland Jackson | Counselor | 2772 S. Mlk Blvd., Fresno, CA 93706-5345 | 2009-09-25 |
| 1427290667 | William E Jackson | Physician Assistant | 9261 E Northview Ct, Tucson, AZ 85749-9792 | 2009-04-02 |
| 1487846366 | William Bradley Jackson | Physical Therapy Assistant | 176 Division St, Great Barrington, MA 01230-1179 | 2007-08-14 |
| 1316144215 | William Lorenzo Jackson | Internal Medicine | 300 Rodgers Blvd, Terminal Box Unit-67, Honolulu, HI 96819-1890 | 2007-07-02 |
| 1417006594 | William Kenneth Jackson | Dentist | 11411 N Central Expy Ste K, Dallas, TX 75243-6606 | 2007-01-09 |
| 1326109661 | William Jackson Jr. | Optometrist | 4 West Way Court, Lake Jackson, TX 77566-5242 | 2006-12-12 |
| Street Address |
880 W 12TH ST |
| City | RENO |
| State | NV |
| Zip Code | 89503-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739646 | Leah M. Leonard-steckline | Psychologist | 1423 S Arlington Ave, Reno, NV 89509-2649 | 2020-01-22 |
| 1376192872 | Cheryl L Garn | Psychologist | 1875 Plumas St Ste 6, Reno, NV 89509-3387 | 2019-09-06 |
| 1801365861 | Richard M Baldo Phd Incorporated | Psychologist | 5421 Kietzke Ln Ste 202, Reno, NV 89511-1025 | 2018-11-20 |
| 1598234924 | John Paul Crum | Psychologist | 645 Plumas St, Reno, NV 89509-1730 | 2018-11-14 |
| 1760950638 | A Wiser Mind Nevada LLC | Psychologist | 401 Ryland St Ste 200a, Reno, NV 89502-1643 | 2018-11-08 |
| 1467850982 | Jordan Thomas Bonow | Psychologist | 975 Kirman Avenue (116), Reno, NV 89502 | 2014-12-16 |
| 1538404165 | Sophia Alexandra Johnson | Psychologist | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2012-12-07 |
| 1407122724 | Ruth Gentry | Psychologist | 10631 Professional Cir Ste A, Reno, NV 89521-5835 | 2012-03-30 |
| 1275847709 | Lynda J Ross | Psychologist | 2450 Vassar St, 3a, Reno, NV 89502 | 2010-07-26 |
| 1861655938 | Agape Psychological Services | Psychologist | 210 Marsh Ave, Suite 100, Reno, NV 89509-1647 | 2008-07-08 |
| Find all providers in RENO | ||||
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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.