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DR. JUDITH TEMPLE JACKSON PSYCHOLOGIST
NPI 1497973911
Psychologist - Prescribing (Medical) in Ardmore, PA

Active since April 22, 2007PECOS EnrolledAccepts Medicare Assignment
125 COULTER AVE, FLOOR 2, ARDMORE, PA 19003(610) 642-4873(610) 642-4886 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Judith Temple Jackson Psychologist NPPES

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

DR. JUDITH TEMPLE JACKSON PSYCHOLOGIST (NPI 1497973911) is an individual prescribing (medical) provider in Ardmore, Pennsylvania, licensed in Pennsylvania (PS007219L) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1497973911
Entity TypeIndividualFemale
Primary Taxonomy103TP0016X
Provider Legal NameDR. JUDITH TEMPLE JACKSONCredential: PSYCHOLOGIST
Location Address125 COULTER AVE, FLOOR 2Ardmore, PA 19003-2410
Mailing Address125 Coulter Ave, Floor 2Ardmore, PA 19003-2410 · (610) 642-4873 · Fax (610) 642-4886
Phone(610) 642-4873
Fax(610) 642-4886
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497973911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in PA · PS007219L
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
125 COULTER AVE, Ardmore, PA 19003
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Other Names 1

Former Name (1)Dr. Judith Carol Jackson Psychologist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Judith Temple Jackson Psychologist is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103991336
PECOS Enrollment IDI20080821000613
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
344 services23 patients

Other Providers at the Same Location NPPES 9

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

DR. BRUCE VICTOR MILLER PHD
Psychologist (Clinical)
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 642-4873
MR. MOSS ALAN JACKSON PHD
Psychologist (Clinical)
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 642-4873
DR. EMILY EDELSON PSY.D.
Psychologist (Clinical)
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (484) 727-8494
DR. JAMES J COUPE III PSY.D., MBA
Psychologist (Clinical)
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 642-4873
MS. SUSAN SPENCER MORRISON MSS, LCSW
Social Worker (Clinical)
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 642-4873
CENTER FOR PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 642-4873
DR. SUSAN LEIGH METRICK PSY.D.
Psychologist
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 647-6406
DR. DANIEL YEMIN PSY.D.
Psychologist (Clinical)
125 COULTER AVE
ARDMORE, PA 19003
Delaware County (610) 642-4873

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 Judith Jackson's NPI number?

The NPI number for Judith Jackson is 1497973911. It was assigned to this individual provider in the NPPES registry on April 22, 2007. The provider is also known as Dr. Judith Carol Jackson Psychologist.

Where is Judith Jackson located?

Judith Jackson practices at 125 Coulter Ave Floor 2, Ardmore, PA 19003. The listed phone number is (610) 642-4873.

What is Judith Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Judith Jackson enrolled in Medicare?

Yes. Judith Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Judith Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.