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DR. RICHARD JACKSON M.D.
NPI 1508081993
Psychiatry & Neurology - Psychiatry in Bloomfield Hills, MI

Active since April 13, 2007PECOS Enrolled
E 4111 ANDOVER ROAD SUITE 220, BLOOMFIELD HILLS, MI 48302(248) 290-5400(248) 290-5401 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard Jackson M.d. NPPES

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

DR. RICHARD JACKSON M.D. (NPI 1508081993) is an individual psychiatry provider in Bloomfield Hills, Michigan, licensed in Michigan (4301407129) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508081993
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RICHARD JACKSONCredential: M.D.
Location AddressE 4111 ANDOVER ROAD SUITE 220Bloomfield Hills, MI 48302
Mailing AddressE 4111 Andover Road Suite 220Bloomfield Hills, MI 48302 · (248) 290-5400 · Fax (248) 290-5401
Phone(248) 290-5400
Fax(248) 290-5401
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508081993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · 4301407129
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

E 4111 ANDOVER ROAD SUITE 220, Bloomfield Hills, MI 48302
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Other Identifiers 1

Medicare UPIN4301407129MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Jackson M.d. 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 48302 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1508081993. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Richard Jackson located?

Richard Jackson practices at E 4111 Andover Road Suite 220, Bloomfield Hills, MI 48302. The listed phone number is (248) 290-5400.

What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Richard Jackson enrolled in Medicare?

Yes. Richard Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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