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CHRISTIAN NICOLE RECORD-JACKSON PSY 0810008030
NPI 1407344518
Psychologist - Clinical in Jbsa Lackland, TX

Active since April 24, 2018PECOS Enrolled
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236(210) 292-6255(210) 292-7934 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Jul 9, 2024, Apr 24, 2018 (3 updates tracked since 2018).

About Christian Nicole Record-jackson Psy 0810008030 NPPES

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

CHRISTIAN NICOLE RECORD-JACKSON PSY 0810008030 (NPI 1407344518) is an individual clinical provider in Jbsa Lackland, Texas, licensed in Virginia (0810008030) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jb Andrews.

NPPES Registry Identity

NPI1407344518
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCHRISTIAN NICOLE RECORD-JACKSONCredential: PSY 0810008030
Location Address1100 WILFORD HALL LOOPJbsa Lackland, TX 78236-5638
Mailing Address3905 26th StChesapeake Beach, MD 20732-9383 · (831) 239-8364
Phone(210) 292-6255
Fax(210) 292-7934
Sole ProprietorNo
Enumeration DateApril 24, 2018
Last NPPES UpdateMay 18, 20263 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1407344518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810008030
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 105956 (CA)
1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236
Open in Google Maps ↗

Secondary Practice Location 1

Location 11060 W Perimeter RdJb Andrews, MD 20762-6602 · Phone (240) 857-7186

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Nicole Record-jackson Psy 0810008030 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. HENRY ANDREW FOERSTER DMD
Dentist (Periodontics)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6990
HEIDI DEARBORN DO
Dermatology
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5350
PARAMJIT BHULLAR MD
Ophthalmology (Cornea and External Diseases Specialist)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9900
SARAH MCDONALD MD
Pediatrics
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4277
DANIEL ALLAN WEIDNER DO
Emergency Medicine
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3403
THOMAS BERNARD HOLLAND PSY. D
Psychologist (Clinical)
1100 WILFORD HALL LOOP
SAN ANTONIO, TX 78236
Bexar County (304) 702-5431
MICHELL ALEXANDRE LLERENA
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MS. KIMBERLY K MORGAN APN
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 925-8318

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 Christian Record-jackson's NPI number?

The NPI number for Christian Record-jackson is 1407344518. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Christian Record-jackson located?

Christian Record-jackson practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-6255.

What is Christian Record-jackson's specialty?

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

Is Christian Record-jackson enrolled in Medicare?

Yes. Christian Record-jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Record-jackson was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.