DR. KENNETH JACKSON PH.D.
NPI 1588762108
Psychologist - Clinical in Chicago, IL
NPI Status: Active since September 20, 2006
Contact Information
5701 N ASHLAND AVE
SUITE 205-A
CHICAGO, IL
ZIP 60660
Phone: (773) 454-7202
Fax: (773) 465-5041
- Individual
- Male
- Psychologist
- Clinical
About KENNETH JACKSON
This page provides the complete NPI Profile along with additional information for Kenneth Jackson, a provider established in Chicago, Illinois with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1588762108 assigned on September 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 071007090 (IL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1588762108
- Provider Name
- DR. KENNETH JACKSON PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5701 N ASHLAND AVE SUITE 205-A CHICAGO, IL 60660
- Location Phone
- (773) 454-7202
- Location Fax
- (773) 465-5041
- Mailing Address
- 5701 N ASHLAND AVE SUITE 205-A CHICAGO, IL 60660
- Mailing Phone
- (773) 454-7202
- Mailing Fax
- (773) 465-5041
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-20-2006
- Last Update Date
- 11-04-2010
- Code Navigator
A clinical psychologist like Kenneth Jackson assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 071007090
- License State
- IL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | 20042218A (IN) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588762108, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CHICAGO, IL 60660
CHICAGO, IL 60660
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588762108, enumerated as an "individual" on September 20, 2006.
The provider is located at 5701 N ASHLAND AVE SUITE 205-A CHICAGO, IL 60660 and the phone number is (773) 454-7202.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
