JACKSON PSYCHIATRIC SERVICES PLLC
NPI 1174353486
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MA

Active since August 02, 2024
1500 MAIN STREET, #15024, SPRINGFIELD, MA 01115(413) 265-8714(413) 225-8712 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 24, 2025, Dec 15, 2025, Aug 12, 2024 and 1 more (4 updates tracked since 2024).

About Jackson Psychiatric Services Pllc NPPES

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

JACKSON PSYCHIATRIC SERVICES PLLC (NPI 1174353486) is a healthcare organization registered as a psychiatric/mental health in Springfield, Massachusetts and active in the NPI registry since August 2024. The organization lists Elsie Dieguez-jackson, Owner/certified Np, as its authorized official.

NPPES Registry Identity

NPI1174353486
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJACKSON PSYCHIATRIC SERVICES PLLC
Location Address1500 MAIN STREET, #15024Springfield, MA 01115-5024
Mailing AddressPo Box 15024Springfield, MA 01115-5024 · (413) 265-8714 · Fax (413) 225-8712
Fax(413) 225-8712
Organization SubpartNo
Authorized OfficialElsie Dieguez-jacksonOwner/certified Np · (315) 289-6828
Enumeration DateAugust 2, 2024
Last NPPES UpdateDecember 24, 20254 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
NPI 1174353486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1500 MAIN STREET, Springfield, MA 01115

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 8

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

Case Manager/Care Coordinator
1500 MAIN STREET, 8TH FLOOR
SPRINGFIELD, MA 01115
In Home Supportive Care
1500 MAIN STREET, 8TH FLOOR- UNIT 800
SPRINGFIELD, MA 01115
Counselor (Mental Health)
1500 MAIN STREET, SUITE 240A
SPRINGFIELD, MA 01115
Transportation Network Company
1500 MAIN STREET, SUITE 800
SPRINGFIELD, MA 01115
Clinic/Center (Mental Health (Including Community Mental Health Center))
1500 MAIN STREET, 8TH FLOOR
SPRINGFIELD, MA 01115
Social Worker
1500 MAIN STREET, 8TH FLOOR
SPRINGFIELD, MA 01115
Counselor (Mental Health)
1500 MAIN STREET, 8TH FLOOR, SUITE 808
SPRINGFIELD, MA 01115
Counselor (Mental Health)
1500 MAIN STREET, SUITE 240A
SPRINGFIELD, MA 01115

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 Jackson Psychiatric Services PLLC's NPI number?

The NPI number for Jackson Psychiatric Services PLLC is 1174353486. It was assigned to this organization in the NPPES registry on August 2, 2024.

Where is Jackson Psychiatric Services PLLC located?

Jackson Psychiatric Services PLLC is located at 1500 Main Street #15024, Springfield, MA 01115. The listed phone number is (413) 265-8714.

What is Jackson Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jackson Psychiatric Services PLLC was last updated on December 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.