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MAVIS JACKSON
NPI 1083455315
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Orangeburg, NY

Active since June 03, 2024
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962(845) 680-7800 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mavis Jackson NPPES

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

MAVIS JACKSON (NPI 1083455315) is an individual psychiatric/mental health, child & adolescent provider in Orangeburg, New York, licensed in New York (572849) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1083455315
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameMAVIS JACKSON
Location Address140 OLD ORANGEBURG RDOrangeburg, NY 10962-1157
Mailing Address37 Woodfield RdPomona, NY 10970-2216
Phone(845) 680-7800
Sole ProprietorNo
Enumeration DateJune 3, 2024
NPPES CertifiedJune 2, 2024
✔ NPI 1083455315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License✔ Licensed in NY · 572849
140 OLD ORANGEBURG RD, Orangeburg, NY 10962
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Other Providers at the Same Location NPPES 20

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

JOSEPH VALERE
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600
ASHA ELIZABETH VARGHESE
Registered Nurse
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600
ROCKLAND PC
Health Maintenance Organization
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 359-1000
MS. CHERYL ANN MCCANTS-DAUGHTREY LCSWR
Social Worker (Clinical)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (914) 948-1192
JOSEENAMOL CYRIAC
Registered Nurse (Psychiatric/Mental Health)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600
LIGI ANIL
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-7788
APRIL SHEA
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 454-3080
MIN HEE YOON
Registered Nurse (Psychiatric/Mental Health, Adult)
140 OLD ORANGEBURG RD
ORANGEBURG, NY 10962
Rockland County (845) 680-8600

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 Mavis Jackson's NPI number?

The NPI number for Mavis Jackson is 1083455315. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Mavis Jackson located?

Mavis Jackson practices at 140 Old Orangeburg Rd, Orangeburg, NY 10962. The listed phone number is (845) 680-7800.

What is Mavis Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

When was this NPI record last updated?

The NPPES record for Mavis Jackson was last updated on June 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.