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BYRON JACKSON
NPI 1225667264
Community/Behavioral Health in Phoenix, AZ

Active since April 02, 2020
3101 N CENTRAL AVE # 220B, PHOENIX, AZ 85012(602) 920-2791 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Byron Jackson NPPES

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

BYRON JACKSON (NPI 1225667264) is an individual community/behavioral health provider in Phoenix, Arizona and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1225667264
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameBYRON JACKSON
Location Address3101 N CENTRAL AVE # 220BPhoenix, AZ 85012-2645
Mailing Address2320 E Baseline Rd Ste 148-203Phoenix, AZ 85042-6959 · (602) 920-2791
Phone(602) 920-2791
Sole ProprietorYes
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1225667264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3101 N CENTRAL AVE # 220B, Phoenix, AZ 85012
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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 Byron Jackson's NPI number?

The NPI number for Byron Jackson is 1225667264. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Byron Jackson located?

Byron Jackson practices at 3101 N Central Ave # 220B, Phoenix, AZ 85012. The listed phone number is (602) 920-2791.

What is Byron Jackson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Byron Jackson was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.