DAYVIONNE JACKSON
NPI 1265135354
Psychologist - Health Service in Eastlake, OH

Active since March 27, 2023
36260 LAKE SHORE BLVD APT 201, EASTLAKE, OH 44095(440) 796-4482 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dayvionne Jackson NPPES

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

DAYVIONNE JACKSON (NPI 1265135354) is an individual health service provider in Eastlake, Ohio and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1265135354
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDAYVIONNE JACKSON
Location Address36260 LAKE SHORE BLVD APT 201Eastlake, OH 44095-1446
Mailing Address36260 Lake Shore Blvd Apt 201Eastlake, OH 44095-1446 · (440) 796-4482
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 25, 2023
NPI 1265135354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

36260 LAKE SHORE BLVD APT 201, Eastlake, OH 44095

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 Dayvionne Jackson's NPI number?

The NPI number for Dayvionne Jackson is 1265135354. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Dayvionne Jackson located?

Dayvionne Jackson practices at 36260 Lake Shore Blvd Apt 201, Eastlake, OH 44095. The listed phone number is (440) 796-4482.

What is Dayvionne Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Dayvionne Jackson was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.