DR. PAUL A JACKSON (NPI# 1477112522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477112522 |
Entity Type | Individual |
Full Name | DR. PAUL A JACKSON |
Credential | PH.D. |
Practice Address |
459 W Macarthur Blvd Oakland CA 94609-2808 |
Mailing Address |
Po Box 11293 Oakland CA 94611-0293 |
Practice Telephone | 5104501830 |
Mailing Telephone | 5104501830 |
Enumeration Date | 2019-06-12 |
Last Update Date | 2019-06-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30112 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
1639435019 | Paul Jackson | Adult Companion | 2229 Pueblo Dr, Garland, TX 75040-4328 | 2012-04-10 |
1609005172 | Paul A Jackson Jr. | Counselor | 5117 Andrea Blvd, Suite 86, Sacramento, CA 95842-2518 | 2009-07-06 |
1467688564 | Paul S. Jackson | Student in an Organized Health Care Education/Training Program | 26 South 200 East, Suite 5900, Salt Lake City, UT 84112 | 2009-06-03 |
1043462815 | Paul Jackson | Driver | 34401 Calgary Ter, Fremont, CA 94555-2916 | 2008-10-10 |
1154435899 | Paul Thomas Jackson Jr. | Internal Medicine | 4550 Lamar Ave, Suite 200, Paris, TX 75462-5124 | 2006-08-19 |
1053322974 | Paul D Jackson | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2006-08-10 |
1053330704 | Paul Maurice Jackson | Internal Medicine | 20271 Merrick Dr, Saratoga, CA 95070-4960 | 2006-07-19 |
1598706855 | Paul Brian Jackson | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2006-06-09 |
1942290606 | Paul Dennis Jackson | Psychiatry & Neurology | 2065 21st St Se Apt O, Hickory, NC 28602-3479 | 2005-10-25 |
Street Address |
459 W MACARTHUR BLVD |
City | OAKLAND |
State | CA |
Zip Code | 94609-2808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558994277 | Pranamind LLC | Clinical Neuropsychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2020-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
Find all providers in zip 94609 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932727906 | Carolina Bacchi Psychotherapy and Psychoanalysis, LLC | Psychologist | 5665 College Ave Ste 340c, Oakland, CA 94618-1658 | 2020-07-07 |
1558990770 | Laurie Jean Patraitis | Psychologist | 419 30th St Ste 3, Oakland, CA 94609-3374 | 2020-04-08 |
1194354001 | Lyndsay Dell | Psychologist | 4420 Penniman Ave Apt C, Oakland, CA 94619-2659 | 2020-04-02 |
1619513223 | Lesley A Parke | Psychologist | 445 Bellevue Ave Ste 302, Oakland, CA 94610-4923 | 2019-11-19 |
1700437233 | Laurette Schiff Gennis | Psychologist | 5655 College Ave Ste 315b, Oakland, CA 94618-1669 | 2019-09-25 |
1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
1689173759 | Bay Psychology Group Inc | Psychologist | 5297 College Ave Ste 103, Oakland, CA 94618-1462 | 2018-02-05 |
1861925034 | Sarah Carroll | Psychologist | 5757 Morse Dr, Oakland, CA 94605-1137 | 2017-04-05 |
1679026991 | Jessica Bol | Psychologist | 5327 College Ave Ste 1, Oakland, CA 94618-1416 | 2016-08-03 |
1376994301 | William Osterweis Selig | Psychologist | 5327 College Ave # 5, Oakland, CA 94618-1416 | 2016-06-30 |
Find all providers in OAKLAND |
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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.