JACKSON PSYCHOLOGICAL SERVICES, LLC (NPI# 1396081295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396081295 |
| Entity Type | Organization |
| Organization Name | JACKSON PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
97 Main St Lancaster NH 03584-3063 |
| Mailing Address |
127 Elm St Lancaster NH 03584-3107 |
| Practice Telephone | 4236501851 |
| Mailing Telephone | 4236501851 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | DR. TRINA BOTHE JACKSON (CLINICAL PSYCHOLOGIST, OWNER) |
| Authorized Official Telephone | 4236501851 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1268 | NH | Behavioral Health & Social Service Providers |
| Street Address |
97 MAIN ST |
| City | LANCASTER |
| State | NH |
| Zip Code | 03584-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427028901 | Joseph Thomas Keenan | Psychologist | 97 Main St, Lancaster, NH 03584-3027 | 2006-01-25 |
| 1578809059 | Trina Bothe Jackson | Psychologist | 97 Main St, Lancaster, NH 03584-3063 | 2013-01-02 |
| 1437422052 | Kelly D Mccann | Psychologist | 97 Main St, Lancaster, NH 03584-3063 | 2012-02-13 |
| 1649393398 | Jeanine Lynn Joiner-libby | Counselor | 97 Main St, Suite 107, Lancaster, NH 03584-3027 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972012326 | Weeks Medical Center | Clinical Medical Laboratory | 173 Middle Street, Lancaster, NH 03584 | 2017-09-28 |
| 1346364064 | Rachel E Sanborn | Occupational Therapy Assistant | 91 Country Village Rd., Lancaster, NH 03584 | 2007-03-19 |
| 1669631271 | Samuel P. Shippee | Optometrist | 150 Main St, Lancaster, NH 03584 | 2008-06-09 |
| 1154459196 | Williams Radiology Associates | Radiology | 170 Middle St, Weeks Medical Center, Lancaster, NH 03584 | 2007-03-01 |
| 1033246624 | Town of Lancaster | Ambulance | 25 Main St, Lancaster, NH 03584 | 2007-02-28 |
| 1588669881 | Lancaster Dental Care, PC | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2005-06-15 |
| 1861018533 | Jenna A Johnson | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2020-06-18 |
| 1033602925 | Corey J Wells | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2018-06-14 |
| 1629237672 | Charles J Schmidt | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2008-06-05 |
| 1518906395 | Allen L Naves | Dentist | 22 Bunker Hill St, Lancaster, NH 03584-3009 | 2006-06-06 |
| Find all providers in zip 03584 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891353736 | Thalia Patricia Moshos | Psychologist | 222 E Orange St Ste 201, Lancaster, PA 17602-2915 | 2019-06-05 |
| 1275090003 | Christina Barrera | Psychologist | 1755 Oregon Pike Ste 200, Lancaster, PA 17601-4272 | 2019-02-28 |
| 1962900258 | Brian Esposito | Psychologist | 1834 Oregon Pike Ste 4, Lancaster, PA 17601-6463 | 2018-02-01 |
| 1760990766 | Sarah Haas | Psychologist | 2121 Oregon Pike Ste 201, Lancaster, PA 17601-4604 | 2018-01-12 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1164839312 | The Opening Path | Psychologist | 313 West Liberty Street, Suite 230, Lancaster, PA 17603 | 2014-07-21 |
| 1235543083 | David Sheets | Psychologist | 5900 Bis Rd Sw, Lancaster, OH 43130-9606 | 2014-06-19 |
| 1669788410 | Beatrix Souza | Psychologist | 525 Pavement Rd, Lancaster, NY 14086-9018 | 2010-08-30 |
| 1811225618 | Dale A. Alexander, Ph.d., Inc. | Psychologist | 566 W Lancaster Blvd, Suite Ten, Lancaster, CA 93534-2563 | 2009-12-07 |
| 1710111984 | Mark Sterlyn Coe | Psychologist | 329 W Meeting St, Lancaster, SC 29720-2319 | 2009-05-04 |
| Find all providers in LANCASTER | ||||
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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.