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SARATOGA HEADACHE CENTER
NPI 1164055893
Psychiatry & Neurology - Neurology in Clifton Park, NY

Active since February 21, 2020
7 SOUTHSIDE DR, CLIFTON PARK, NY 12065(646) 957-7648 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Apr 9, 2021, Aug 3, 2020 and 2 more (5 updates tracked since 2020).

About Saratoga Headache Center NPPES

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

SARATOGA HEADACHE CENTER (NPI 1164055893) is a healthcare organization registered as a neurology in Clifton Park, New York and active in the NPI registry since February 2020. The organization maintains a secondary practice location in Latham and lists Richard Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164055893
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameRICHARD T JACKSON LLC
Location Address7 SOUTHSIDE DRClifton Park, NY 12065-3887
Mailing Address7 Southside DrClifton Park, NY 12065-3887 · (518) 709-0005 · Fax (518) 280-2275
Phone(646) 957-7648
Organization SubpartNo
Authorized OfficialRichard JacksonOwner · (518) 709-0005
Enumeration DateFebruary 21, 2020
Last NPPES UpdateJuly 8, 20215 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1164055893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
7 SOUTHSIDE DR, Clifton Park, NY 12065
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Other Names 1

Doing Business AsSaratoga Headache Center

Secondary Practice Location 1

Location 13 Lear Jet Ln Ste 203Latham, NY 12110-2322 · Phone (518) 258-4033 · Fax (518) 280-2275

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MOBILE ECHOCARDIOGRAPHY DIAGNOSTICS LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
7 SOUTHSIDE DR
CLIFTON PARK, NY 12065
Saratoga County (518) 859-2333
ELIZABETH HARRIS
Psychologist (School)
7 SOUTHSIDE DR, SUITE 206
CLIFTON PARK, NY 12065
Saratoga County (518) 280-4294
LISA BATTENHAUSEN COTA
Occupational Therapy Assistant
7 SOUTHSIDE DR
CLIFTON PARK, NY 12065
Saratoga County (518) 280-4294

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 Richard T Jackson LLC's NPI number?

The NPI number for Richard T Jackson LLC is 1164055893. It was assigned to this organization in the NPPES registry on February 21, 2020. The provider is doing business as Saratoga Headache Center.

Where is Richard T Jackson LLC located?

Richard T Jackson LLC is located at 7 Southside Dr, Clifton Park, NY 12065. The listed phone number is (646) 957-7648.

What is Richard T Jackson LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Richard T Jackson LLC was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.