GREGORY CHRISTOPHER JACKSON (NPI# 1568092088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568092088 |
| Entity Type | Individual |
| Full Name | GREGORY CHRISTOPHER JACKSON |
| Credential | PSYD |
| Practice Address |
4141 Geary Blvd San Francisco CA 94118-3109 |
| Practice Telephone | 4158335067 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY31231 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295194124 | Gregory L Jackson | Social Worker | 342 W Progress Rd, Prentiss, MS 39474-5221 | 2016-02-20 |
| 1811170293 | Gregory Emory Jackson | Pharmacist | 526 W 30th Street, Ny, NY 10001 | 2007-12-09 |
| 1801970769 | Gregory Wayne Jackson | Dentist | 6435 S Pulaski Rd, Chicago, IL 60629-5148 | 2006-10-25 |
| 1184738825 | Gregory Mann Jackson | Specialist | 4220 Mccullough Ave, San Antonio, TX 78212-1910 | 2006-08-19 |
| 1134158009 | Gregory Alan Jackson | Physical Therapist | 5501 Swift Rd, Sarasota, FL 34231-6209 | 2006-07-02 |
| 1982640090 | Gregory R Jackson | Radiology | 800 Mercy Hospital, Alegent Mercy Hospital, Council Bluffs, IA 51503 | 2006-06-20 |
| 1356306203 | Gregory Lee Jackson | Specialist/Technologist | 3821 Everetts Dl, Lexington, KY 40514-1185 | 2006-04-20 |
| 1346747110 | Gregory Jackson | Student in an Organized Health Care Education/Training Program | 1161 21st Ave S, Nashville, TN 37232-0004 | 2018-04-09 |
| 1285167304 | Gregory M. Jackson II | Nurse Practitioner | 8600 Wurzbach Rd, Suite 1110, San Antonio, TX 78240-4330 | 2017-04-05 |
| 1942651708 | Gregory Jackson | Physical Therapy Assistant | 9685 Chillicothe Rd, Kirtland, OH 44094-8503 | 2016-06-23 |
| Street Address |
4141 GEARY BLVD |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94118-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544031 | Adam S Lee | Pharmacist | 4141 Geary Blvd, Suite #208, San Francisco, CA 94118-3109 | 2006-09-29 |
| 1356948533 | Elise Gagnon | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2020-10-01 |
| 1841809902 | Devin G Inabinet | Audiologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2020-07-24 |
| 1720634520 | Jun He | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2019-08-16 |
| 1780248302 | Tiffany Nicole Loggins | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2019-04-29 |
| 1164954350 | Alan Yuen | Pharmacist | 4141 Geary Blvd, 1st Floor Pharmacy, San Francisco, CA 94118-3109 | 2017-03-28 |
| 1225579477 | Robert Ramos | Pharmacist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2017-03-20 |
| 1932649563 | Runa Korde | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2017-03-01 |
| 1063839462 | Derek Robert Blechinger | Internal Medicine | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2014-03-24 |
| 1184970618 | Tina K Dietz | Psychologist | 4141 Geary Blvd, San Francisco, CA 94118-3109 | 2012-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933533 | Emily Bonelli Padow | Social Worker | 699 Spruce Street, San Francisco, CA 94118 | 2020-02-11 |
| 1306489067 | Sue Jennigs Hirsch | Counselor | 405 Clement Street Room 4, San Francisco, CA 94118 | 2019-10-24 |
| 1235795402 | Sally Levy Albert Mft | Marriage & Family Therapist | 626 Balboa Street, San Francisco, CA 94118 | 2019-05-14 |
| 1750851382 | Ka Yan Mary Fong Dds Inc | Dentist | 3121 Geary Blvd, San Francisco, CA 94118 | 2018-11-27 |
| 1871072728 | Devin G Wu | Acupuncturist | 1014 Clement St, San Francisco, CA 94118 | 2018-08-11 |
| 1568952034 | Toni Margot Brooks | Marriage & Family Therapist | 4831 Geary Blvd., San Francisco, CA 94118 | 2018-05-10 |
| 1053808733 | Pamela Elizabeth Olton | Acupuncturist | 450 Connecticut Street, San Francisco, CA 94118 | 2018-04-18 |
| 1952801359 | Justin Andrew Fotter | Chiropractor | 403 Arguello Blvd, Live Fit Gym, San Francisco, CA 94118 | 2018-02-13 |
| 1861926024 | Chih-han Lee | Student in an Organized Health Care Education/Training Program | 2351 Clay Street., Suite 380, San Francisco, CA 94118 | 2017-04-14 |
| 1205372695 | Allison Smith | Physical Therapist | 323 Masonic Ave, San Francisco, CA 94118 | 2017-01-10 |
| Find all providers in zip 94118 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948600 | Kesha Patrice | Psychologist | 939 Ellis St, San Francisco, CA 94109-7714 | 2020-09-29 |
| 1225644487 | Brock Louis Pistel | Psychologist | 939 Ellis St Fl 67, San Francisco, CA 94109-7714 | 2020-09-22 |
| 1336758291 | Kelsey Thompson Laird | Psychologist | 1875 Church St, San Francisco, CA 94131-2712 | 2020-07-27 |
| 1265050595 | Vida Family Therapy PC | Psychologist | 100 Montgomery St Ste 750, San Francisco, CA 94104-4302 | 2020-07-13 |
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1427686831 | Laura Straus | Psychologist | 4150 Clement St # 116p, San Francisco, CA 94121-1563 | 2020-03-31 |
| 1962036111 | Mary Brady | Psychologist | 3159 Sacramento St, San Francisco, CA 94115-2005 | 2020-02-26 |
| 1063044535 | Grace Jebara Marriage Therapy Inc | Psychologist | 2169 Union St # 3, San Francisco, CA 94123-4003 | 2020-02-12 |
| 1477190577 | Brittany Linton | Psychologist | 930 Sutter St Apt 402, San Francisco, CA 94109-6095 | 2019-12-08 |
| 1417508748 | Julian Samuel Farzan-kashani | Psychologist | 625 Market St Ste 510, San Francisco, CA 94105-3302 | 2019-09-27 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94118 |
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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.