GAIL M JACKSON (NPI# 1417037185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417037185 |
| Entity Type | Individual |
| Full Name | GAIL M JACKSON |
| Credential | MA |
| Practice Address |
Belmont Center, 4200 Monument Road Philadelphia PA 19131 |
| Mailing Address |
600 Portland Dr Downingtown PA 19335-4816 |
| Practice Telephone | 2155815479 |
| Practice Fax Number | 2155813827 |
| Mailing Telephone | 2155815479 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PC001382 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811324387 | Gail Jackson | Behavioral Analyst | 9030 W Sahara Ave # 193, Las Vegas, NV 89117-5744 | 2013-09-30 |
| 1104817303 | Gail E Jackson | Counselor | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2005-11-04 |
| 1154823193 | Gail Jackson | Technician | 1455 E Tropicana Ave Ste 175a, Las Vegas, NV 89119-6507 | 2018-03-06 |
| 1407057003 | Gail Allsup Jackson | Marriage & Family Therapist | 1770 E 118th St, Los Angeles, CA 90059-2518 | 2007-05-30 |
| 1417165531 | Gail Cole Jackson | Pediatrics | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2007-05-21 |
| 1083838114 | Gail Jackson | Social Worker | 10 Bridge St, The Simpson Block, Lowell, MA 01852-1201 | 2007-04-12 |
| 1063401958 | Gail N Jackson | Obstetrics & Gynecology | 8635 W 3rd St, Suite 680 West, Los Angeles, CA 90048-6101 | 2005-10-14 |
| Street Address |
BELMONT CENTER, 4200 MONUMENT ROAD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730269283 | Carlene Elizabeth Lawson | Psychologist | Belmont Center, 4200 Monument Road, Philadelphia, PA 19131 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1275170763 | Erika Anaya Kellogg | Counselor | 3535 Market St Dept Of, Philadelphia, PA 19104-3309 | 2019-12-04 |
| 1568008480 | Heather Mcgee | Counselor | 3343 Bowman St, Philadelphia, PA 19129-1538 | 2019-11-26 |
| 1104468222 | Johann Ochoa | Counselor | 3900 Woodland Ave Bldg 3, Philadelphia, PA 19104-4551 | 2019-10-09 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1447805114 | Sobriety Now LLC. | Counselor | 100 S Broad St Ste 2230, Philadelphia, PA 19110-1021 | 2019-08-08 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1215400106 | David Francis Ross Sr. | Counselor | 622 W Chew Ave Ste 2, Philadelphia, PA 19120-2211 | 2019-01-03 |
| 1124502604 | Saida Heywood | Counselor | 1306 Catharine St, Philadelphia, PA 19147-2628 | 2018-09-20 |
| 1437649415 | Ashley Przywitowski | Counselor | 9815 Roosevelt Blvd Ste B, Philadelphia, PA 19114-1035 | 2018-05-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on GAIL M 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.