ERIC D JACKSON PHD
NPI 1184047698
Psychologist - Clinical in Orange, CT

Q: What is Eric Jackson's NPI number?

The NPI number for Eric Jackson is 1184047698. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Q: What is Eric Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Jackson was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 04, 2014

35 OLD TAVERN RD, SUITE 103, ORANGE, CT 06477(203) 701-9666 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eric D Jackson Phd NPPES

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

ERIC D JACKSON PHD (NPI 1184047698) is an individual clinical provider in Orange, Connecticut, licensed in Connecticut (003329) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1184047698

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameERIC D JACKSONCredential: PHD

Location Address35 OLD TAVERN RD, SUITE 103Orange, CT 06477-3450

Mailing Address88 E Broadway Apt BMilford, CT 06460-6128 · (203) 701-9666

Phone(203) 701-9666

Sole ProprietorYes

Enumeration DateFebruary 4, 2014

✔ NPI 1184047698 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 CT · 003329

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.

35 OLD TAVERN RD, Orange, CT 06477

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 6

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

PERSONAL GROWTH & WELLNESS

Counselor

35 OLD TAVERN RD, SUITE 101
ORANGE, CT 06477

South Central Connecticut Planning Region (203) 515-6296

BO ACUPUNCTURE HEALING, LLC

Acupuncturist

35 OLD TAVERN RD, SUITE 101
ORANGE, CT 06477

South Central Connecticut Planning Region (203) 305-2141

ANTHONY TREZZA, LLC

Clinic/Center (Adolescent and Children Mental Health)

35 OLD TAVERN RD
ORANGE, CT 06477

South Central Connecticut Planning Region (203) 666-2002

CHRISTIANE J. MAIORANA LMFT

Marriage & Family Therapist

35 OLD TAVERN RD
ORANGE, CT 06477

South Central Connecticut Planning Region (203) 553-9949

CHS LIFE LIMITED LIABILITY COMPANY

Acupuncturist

35 OLD TAVERN RD
ORANGE, CT 06477

South Central Connecticut Planning Region (203) 693-3425

KHALED MOHAMED, MD LLC

Psychiatry & Neurology (Psychiatry)

35 OLD TAVERN RD, SUITE 101
ORANGE, CT 06477

South Central Connecticut Planning Region (914) 830-0813

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 Eric Jackson's NPI number?

The NPI number for Eric Jackson is 1184047698. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Where is Eric Jackson located?

Eric Jackson practices at 35 Old Tavern Rd Suite 103, Orange, CT 06477. The listed phone number is (203) 701-9666.

What is Eric Jackson's specialty?

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

What insurance does Eric Jackson accept?

Health plans from Providence Health Plan list Eric Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Jackson was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.