BRIDGETTE JACKSON
NPI 1497291637
Psychologist - Health Service in Evanston, IL

Active since January 11, 2017
355 RIDGE AVE, EVANSTON, IL 60202(847) 316-2440(847) 316-2369 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bridgette Jackson NPPES

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

BRIDGETTE JACKSON (NPI 1497291637) is an individual health service provider in Evanston, Illinois and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1497291637
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameBRIDGETTE JACKSON
Location Address355 RIDGE AVEEvanston, IL 60202-3328
Mailing Address355 Ridge AveEvanston, IL 60202-3328 · (847) 316-2440
Fax(847) 316-2369
Sole ProprietorYes
Enumeration DateJanuary 11, 2017
NPI 1497291637 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).

355 RIDGE AVE, Evanston, IL 60202

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.

Internal Medicine
355 RIDGE AVE
EVANSTON, IL 60202
Radiology (Diagnostic Radiology)
355 RIDGE AVE
EVANSTON, IL 60202
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE, DEPARTMENT OF MEDICINE
EVANSTON, IL 60202
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
General Acute Care Hospital
355 RIDGE AVE
EVANSTON, IL 60202

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 Bridgette Jackson's NPI number?

The NPI number for Bridgette Jackson is 1497291637. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Bridgette Jackson located?

Bridgette Jackson practices at 355 Ridge Ave, Evanston, IL 60202. The listed phone number is (847) 316-2440.

What is Bridgette 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 Bridgette Jackson was last updated on January 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.