JOHN L JACKSON PH.D.
NPI 1316169279
Psychologist - Clinical in Maryland Heights, MO

Q: What is John Jackson's NPI number?

The NPI number for John Jackson is 1316169279. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is John 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 John Jackson was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 May 02, 2007

PO BOX 1718, MARYLAND HEIGHTS, MO 63043(224) 935-9807(888) 656-4903 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John L Jackson Ph.d. NPPES

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

JOHN L JACKSON PH.D. (NPI 1316169279) is an individual clinical provider in Maryland Heights, Missouri, licensed in Illinois (071003528) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1316169279

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJOHN L JACKSONCredential: PH.D.

Location AddressPO BOX 1718Maryland Heights, MO 63043-0718

Mailing AddressPo Box 1718Maryland Heights, MO 63043-0718 · (224) 935-9807 · Fax (888) 656-4903

Phone(224) 935-9807

Fax(888) 656-4903

Sole ProprietorYes

Enumeration DateMay 2, 2007

Last NPPES UpdateJanuary 28, 2025

NPPES CertifiedJanuary 28, 2025

✔ NPI 1316169279 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 IL · 071003528

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.

PO BOX 1718, Maryland Heights, MO 63043

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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 John Jackson's NPI number?

The NPI number for John Jackson is 1316169279. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is John Jackson located?

John Jackson practices at PO Box 1718, Maryland Heights, MO 63043. The listed phone number is (224) 935-9807.

What is John Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for John Jackson was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.