DR. JANISSA D JACKSON PHD
NPI 1043365620
Psychologist - Clinical Child & Adolescent in Fort Smith, AR
NPI Status: Active since January 24, 2007
Contact Information
5401 ROGERS AVE STE 201
FORT SMITH, AR
ZIP 72903
Phone: (479) 242-4560
Fax: (479) 242-4561
- Individual
- Female
- Psychologist
- Clinical Child & Adolescent
- Accepts Insurance
About JANISSA JACKSON
This page provides the complete NPI Profile along with additional information for Janissa Jackson, a provider established in Fort Smith, Arkansas with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1043365620 assigned on January 2007. The practitioner's primary taxonomy code is 103TC2200X with license number 07-01P (AR). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1043365620
- Provider Name
- DR. JANISSA D JACKSON PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5401 ROGERS AVE STE 201 FORT SMITH, AR 72903
- Location Phone
- (479) 242-4560
- Location Fax
- (479) 242-4561
- Mailing Address
- 5401 ROGERS AVE STE 201 FORT SMITH, AR 72903
- Mailing Phone
- (479) 242-4560
- Mailing Fax
- (479) 242-4561
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-24-2007
- Last Update Date
- 10-17-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 07-01P
- License State
- AR
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 07-01P (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Exp Standardized - PPO
- Bronze Value - PPO
- Catastrophic HSA - PPO
- Gold Standardized - PPO
- Gold Value - PPO
- Silver AH - PPO
- Silver Standardized - PPO
- Dental Gold - PPO
- Dental Gold Plus Vision - PPO
- Dental Pediatric - PPO
- Dental Platinum - PPO
- Dental Platinum Plus Vision - PPO
- Dental Platinum Premium - PPO
- Dental Platinum Premium Plus Vision - PPO
- Dental Silver - PPO
- HA Bronze Exp Standardized - POS
- HA Bronze National - POS
- HA Gold Premier National - POS
- HA Gold Standardized - POS
- HA Platinum Premier National - POS
- HA Platinum Standardized - POS
- HA Silver AH - POS
- HA Silver Standardized - POS
- Octave Bronze Exp Standardized - POS
- Octave Bronze Value - POS
- Octave Gold Classic National - POS
- Octave Gold Standardized - POS
- Octave Silver AH - POS
- Octave Silver Standardized - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5A252 | OTHER (01) | AR | BLUECROSS BLUESHIELD |
Reviews for DR. JANISSA D JACKSON PHD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043365620, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043365620, enumerated as an "individual" on January 24, 2007.
The provider is located at 5401 ROGERS AVE STE 201 FORT SMITH, AR 72903 and the phone number is (479) 242-4560.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.
