STEPHEN ALAN JACKSON (NPI# 1558436527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558436527 |
| Entity Type | Individual |
| Full Name | STEPHEN ALAN JACKSON |
| Credential | PH.D. |
| Practice Address |
1000 E 24th St Kansas City MO 64108-2776 |
| Mailing Address |
9231 Belinder Rd Leawood KS 66206-1815 |
| Practice Telephone | 8165127250 |
| Practice Fax Number | 8165127252 |
| Mailing Telephone | 9133816408 |
| Mailing Fax Number | 8165127252 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | R0389 | MO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
R0389 | MO | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
R0389 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275926503 | Stephen Jackson | Spec/Tech, Cardiovascular | 2577 Sawgrass Lake Ct, Cape Coral, FL 33909-2935 | 2015-03-11 |
| 1750636288 | Stephen Michael Jackson | Dentist | 350 E 600 S Ste 1, St George, UT 84770 | 2012-07-20 |
| 1548428964 | Stephen Daniel Jackson | Obstetrics & Gynecology | 1091 Kirkpatrick Road, Burlington, NC 27215-9714 | 2008-06-02 |
| 1164411013 | Stephen J Jackson | Emergency Medicine | 4716 S 14th St, Abilene, TX 79605-4733 | 2005-10-13 |
| 1285102582 | Stephen Lee Jackson | Marriage & Family Therapist | 5409 Maryland Way Ste 305, Brentwood, TN 37027-1035 | 2018-11-05 |
| 1225531296 | Stephen A Jackson | Social Worker | 2501 N 3rd St, Harrisburg, PA 17110-2098 | 2018-03-15 |
| 1659733491 | Stephen Jackson | Emergency Medicine | 1170 Cleveland Ave, East Point, GA 30344-3615 | 2016-03-22 |
| 1275918401 | Stephen Jackson | Physical Therapist | 36501 Mission St, Suite A, Prairieville, LA 70769-3289 | 2015-07-29 |
| 1295097590 | Stephen Jackson | Counselor | 165 Roanoke Rd, El Cajon, CA 92020-4015 | 2012-06-12 |
| 1417087107 | Stephen Charles Jackson | Chiropractor | 122 N 2nd St, Millville, NJ 08332-6512 | 2007-03-06 |
| Street Address |
1000 E 24TH ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962404764 | Brad E Cochren | Pharmacist | 1000 E 24th St, Kansas City, MO 64108-2776 | 2005-08-11 |
| 1558970988 | John Tucker | Nurse Practitioner | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-07-31 |
| 1538784871 | Taye L Conkle | Registered Nurse | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-06-12 |
| 1801415757 | Zachary Michael Bartochowski | Student in an Organized Health Care Education/Training Program | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-04-10 |
| 1578192795 | Hirsch Srivastava | Psychiatry & Neurology | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-04-08 |
| 1881223709 | Ferdinand Osayande | Student in an Organized Health Care Education/Training Program | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-04-02 |
| 1053940007 | Anisha Rao Chinthalapally | Student in an Organized Health Care Education/Training Program | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-04-02 |
| 1386273415 | Valeriy Zvonarev | Student in an Organized Health Care Education/Training Program | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-04-01 |
| 1184266157 | Linda Carrol Skaggs-kimbrough | Counselor | 1000 E 24th St, Kansas City, MO 64108-2776 | 2019-10-11 |
| 1366090177 | Margaret Belding Watson | Social Worker | 1000 E 24th St, Kansas City, MO 64108-2776 | 2019-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750612925 | Stress Control Center Inc, P C | Clinical Neuropsychologist | 800 W 47th St Ste 514, Kansas City, MO 64112-1247 | 2010-01-27 |
| 1134274822 | Sally Ann Frutiger | Clinical Neuropsychologist | Center for Neuropsychology, University of Kansas Hospital, Kansas City, KS 66160-0001 | 2007-01-24 |
| 1477648111 | Eric Phillip Ecklund-johnson | Clinical Neuropsychologist | University of Kansas Hospital, 3901 Rainbow Blvd., Mail Stop 1059, Kansas City, KS 66160-0001 | 2006-10-04 |
| 1871537456 | David Lytle Pyle | Clinical Neuropsychologist | 5354 Longview Rd, Kansas City, MO 64137-2731 | 2006-06-15 |
| 1407854292 | Nicholas Noll | Clinical Neuropsychologist | 1208 Ne 97th St, Kansas City, MO 64155-2109 | 2005-07-14 |
| 1316235161 | Rachel Jensen | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2011-07-14 |
| 1881846905 | John Joshua Hall | Clinical Neuropsychologist | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-10-21 |
| 1437224326 | William Blessing | Clinical Neuropsychologist | 1010 Carondelet Dr, Suite 201, Kansas City, MO 64114-4859 | 2006-11-23 |
| 1952415309 | Terrie Lynn Price | Clinical Neuropsychologist | 3011 Baltimore Ave, Kansas City, MO 64108-3403 | 2006-08-19 |
| 1356362578 | Dean Ray Skadeland | Clinical Neuropsychologist | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2006-07-22 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.