Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EDWARD L JACKSON PSYD PLLC
NPI 1043606213
Psychologist in Commerce Twp, MI

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
2900 WELCH RD, COMMERCE TWP, MI 48390(248) 767-7927 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2026, Nov 29, 2025, Nov 22, 2025 and 2 more (5 updates tracked since 2023).

About Dr. Edward L Jackson Psyd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD L JACKSON PSYD PLLC (NPI 1043606213) is an individual psychologist in Commerce Twp, Michigan, licensed in Michigan (6301016271) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Bloomfield, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043606213
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. EDWARD L JACKSONCredential: PSYD PLLC
Location Address2900 WELCH RDCommerce Twp, MI 48390-1562
Mailing Address2900 Welch RdCommerce Twp, MI 48390-1562 · (248) 767-7927
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2015
Last NPPES UpdateOctober 7, 20265 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1043606213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MI · 6301016271
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301016271 (MI)
2900 WELCH RD, Commerce Twp, MI 48390

Secondary Practice Location 1

Location 15777 W Maple Rd Ste 100West Bloomfield, MI 48322-2268 · Phone (248) 831-0838

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward L Jackson Psyd Pllc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779928494
PECOS Enrollment IDI20240304001745
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edward Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
2900 WELCH RD
Commerce Twp, MI 48390
  • Reassigned Medicare billing, Michigan enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
2900 WELCH RD
COMMERCE TWP, MI 48390
Psychologist (Clinical)
2900 WELCH RD
COMMERCE TWP, MI 48390

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Jackson's NPI number?

The NPI number for Edward Jackson is 1043606213. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Edward Jackson located?

Edward Jackson practices at 2900 Welch Rd, Commerce Twp, MI 48390. The listed phone number is (248) 767-7927.

What is Edward Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Edward Jackson enrolled in Medicare?

Yes. Edward Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Edward Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Jackson reassigns Medicare benefits to Dr. Edward L Jackson Psyd PLLC (Commerce Twp, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Jackson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Edward Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Jackson was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.