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LATRELLE JACKSON PHD
NPI 1336332238
Psychologist - Clinical in Richmond, VA

Active since August 23, 2007
9702 GAYTON RD, #181, RICHMOND, VA 23238(804) 741-7500(804) 741-7900 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latrelle Jackson Phd NPPES

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

LATRELLE JACKSON PHD (NPI 1336332238) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0810003414) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1336332238
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLATRELLE JACKSONCredential: PHD
Location Address9702 GAYTON RD, #181Richmond, VA 23238-4907
Mailing Address9702 Gayton Rd, #181Richmond, VA 23238-4907 · (804) 741-7500 · Fax (804) 741-7900
Phone(804) 741-7500
Fax(804) 741-7900
Sole ProprietorNo
Enumeration DateAugust 23, 2007
Last NPPES UpdateNovember 11, 2008
✔ NPI 1336332238 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 VA · 0810003414
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.
9702 GAYTON RD, Richmond, VA 23238
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Other Identifiers 1

Medicare PIN014795C90VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH L BOELTE LCSW
Social Worker (Clinical)
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 741-7500
SARAH AUVERGNE PHD
Psychologist (Clinical)
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 741-7500
MARY E JOYCE-MARCELLO LCSW
Social Worker (Clinical)
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 282-9133
GEORGE PRATSINAK PHD
Psychologist (Clinical)
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 741-7500
BONG SOO EUN PHD
Psychologist
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 741-7500
TYLER LISK
Social Worker (Clinical)
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 741-7500
DR. BEDE A.R. PANTAZE PHD
Psychologist (Clinical)
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 741-7500
STEPHEN GRASBERGER LCSW
Social Worker (Clinical)
9702 GAYTON RD, #181
RICHMOND, VA 23238
Goochland County (804) 282-9133

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 Latrelle Jackson's NPI number?

The NPI number for Latrelle Jackson is 1336332238. It was assigned to this individual provider in the NPPES registry on August 23, 2007.

Where is Latrelle Jackson located?

Latrelle Jackson practices at 9702 Gayton Rd #181, Richmond, VA 23238. The listed phone number is (804) 741-7500.

What is Latrelle Jackson's specialty?

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

What insurance does Latrelle Jackson accept?

Health plans from CareSource list Latrelle Jackson 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 Latrelle Jackson was last updated on November 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.