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JACKSON CLINIC LLC
NPI 1235873811
Psychiatry & Neurology - Psychiatry in Lexington, MA

Active since April 21, 2022
33 BEDFORD ST STE 11, LEXINGTON, MA 02420(781) 825-5390 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Clinic Llc NPPES

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

JACKSON CLINIC LLC (NPI 1235873811) is a healthcare organization registered as a psychiatry in Lexington, Massachusetts and active in the NPI registry since April 2022. The organization lists Annise Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235873811
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameJACKSON CLINIC LLC
Location Address33 BEDFORD ST STE 11Lexington, MA 02420-4403
Mailing Address20 2nd Ave Apt 512Burlington, MA 01803-4463 · (228) 712-0012
Phone(781) 825-5390
Organization SubpartNo
Authorized OfficialAnnise JacksonCeo · (781) 825-5390
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1235873811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
33 BEDFORD ST STE 11, Lexington, MA 02420
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

GERARD FOO, PHD, PC
Psychologist
33 BEDFORD ST STE 11
LEXINGTON, MA 02420
Middlesex County (612) 310-8286
DR. ANNISE JACKSON M.D.
Psychiatry & Neurology (Psychiatry)
33 BEDFORD ST STE 11
LEXINGTON, MA 02420
Middlesex County (781) 825-5390
MR. RICHARD HARRISON IV LICSW
Social Worker (Clinical)
33 BEDFORD ST STE 11
LEXINGTON, MA 02420
Middlesex County (617) 949-0859

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 Clinic LLC's NPI number?

The NPI number for Jackson Clinic LLC is 1235873811. It was assigned to this organization in the NPPES registry on April 21, 2022.

Where is Jackson Clinic LLC located?

Jackson Clinic LLC is located at 33 Bedford St Ste 11, Lexington, MA 02420. The listed phone number is (781) 825-5390.

What is Jackson Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

What insurance does Jackson Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jackson Clinic LLC 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 Jackson Clinic LLC was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.