DR. PAUL A JACKSON


Address: 459 W Macarthur Blvd, Oakland, CA 94609-2808
Phone: 5104501830

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY30112 CA Behavioral Health & Social Service Providers

Other Providers PAUL JACKSON

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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

Office Location

Street Address 459 W MACARTHUR BLVD
City OAKLAND
State CA
Zip Code 94609-2808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558994277 Pranamind LLC Clinical Neuropsychologist 459 W Macarthur Blvd, Oakland, CA 94609-2808 2020-02-21

Providers in the same zip code

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 Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City OAKLAND
Zip Code 94609

Improve Information

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Dataset Information

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.

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