MR. OTIS JACKSON JR.
NPI 1053710681
Psychologist - Adult Development & Aging in Memphis, TN
NPI Status: Active since August 20, 2014
Contact Information
3311 KIMBALL AVE
MEMPHIS, TN
ZIP 38111
Phone: (901) 207-4662
- Individual
- Male
- Psychologist
- Adult Development & Aging
About OTIS JACKSON
This page provides the complete NPI Profile along with additional information for Otis Jackson, a provider established in Memphis, Tennessee with a medical specialization in Psychologist, focusing in adult development & aging . The healthcare provider is registered in the NPI registry with number 1053710681 assigned on August 2014. The practitioner's primary taxonomy code is 103TA0700X with license number 1000000015105 (TN). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1053710681
- Provider Name
- MR. OTIS JACKSON JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3311 KIMBALL AVE MEMPHIS, TN 38111
- Location Phone
- (901) 207-4662
- Mailing Address
- 1092 CENTER RIDGE RD COLLIERVILLE, TN 38017
- Mailing Phone
- (901) 870-6847
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-20-2014
- Last Update Date
- 08-20-2014
- 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 Adult Development & Aging
- Taxonomy Code
- 103TA0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1000000015105
- License State
- TN
- Taxonomy Description
- A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
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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 1053710681, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MEMPHIS, TN 38111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053710681, enumerated as an "individual" on August 20, 2014.
The provider is located at 3311 KIMBALL AVE MEMPHIS, TN 38111 and the phone number is (901) 207-4662.
Psychologist with taxonomy code 103TA0700X and a focus in Adult Development & Aging.
