VICKIE JACKSON, PH.D., INC
NPI 1194080200
Psychologist in San Antonio, TX
About Vickie Jackson, Ph.d., Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICKIE JACKSON, PH.D., INC (NPI 1194080200) is a healthcare organization registered as a psychologist in San Antonio, Texas and active in the NPI registry since July 2012. The organization lists Vickie Jackson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vickie Jackson, Ph.d., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vickie Jackson, Ph.D., Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vickie Jackson, Ph.D., Inc's NPI number?
The NPI number for Vickie Jackson, Ph.D., Inc is 1194080200. It was assigned to this organization in the NPPES registry on July 5, 2012.
Where is Vickie Jackson, Ph.D., Inc located?
Vickie Jackson, Ph.D., Inc is located at 325 E Sonterra Blvd 230, San Antonio, TX 78258. The listed phone number is (210) 632-6652.
What is Vickie Jackson, Ph.D., Inc's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Vickie Jackson, Ph.D., Inc enrolled in Medicare?
Yes. Vickie Jackson, Ph.D., Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vickie Jackson, Ph.D., Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Vickie Jackson, Ph.D., Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vickie Jackson, Ph.D., Inc was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.