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DR. MAUDETTE M JACKSON
NPI 1174848352
Psychologist - Clinical in Chicago, IL

Active since March 31, 2010
500 N DEARBORN ST, SUITE 1012, CHICAGO, IL 60654(312) 375-5621 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maudette M Jackson NPPES

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

DR. MAUDETTE M JACKSON (NPI 1174848352) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071006174) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1174848352
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MAUDETTE M JACKSON
Location Address500 N DEARBORN ST, SUITE 1012Chicago, IL 60654-3300
Mailing Address7725 S Crandon AveChicago, IL 60649-4118
Phone(312) 375-5621
Sole ProprietorYes
Enumeration DateMarch 31, 2010
✔ NPI 1174848352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071006174
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
500 N DEARBORN ST, Chicago, IL 60654
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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.

JOANNA REAVES DC, LTD
Chiropractor
500 N DEARBORN ST, STE 700
CHICAGO, IL 60654
Cook County (312) 767-6600
JESSICA SMOCHEK LPC
Counselor (Mental Health)
500 N DEARBORN ST, SUITE 1030
CHICAGO, IL 60654
Cook County (773) 619-4068
WISDOM OF HEALTH
Acupuncturist
500 N DEARBORN ST, SUITE 1012
CHICAGO, IL 60654
Cook County (312) 343-0503

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 Maudette Jackson's NPI number?

The NPI number for Maudette Jackson is 1174848352. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Maudette Jackson located?

Maudette Jackson practices at 500 N Dearborn St Suite 1012, Chicago, IL 60654. The listed phone number is (312) 375-5621.

What is Maudette Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Maudette Jackson was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.