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EVELYN JACKSON
NPI 1609535756
Licensed Psychiatric Technician in Redwood City, CA

Active since December 15, 2021
200 EDMONDS RD, REDWOOD CITY, CA 94062(650) 367-1890 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evelyn Jackson NPPES

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

EVELYN JACKSON (NPI 1609535756) is an individual licensed psychiatric technician in Redwood City, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1609535756
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameEVELYN JACKSON
Location Address200 EDMONDS RDRedwood City, CA 94062-3813
Mailing Address200 Edmonds RdRedwood City, CA 94062-3813 · (650) 367-1890
Phone(650) 367-1890
Sole ProprietorNo
Enumeration DateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1609535756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
200 EDMONDS RD, Redwood City, CA 94062
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Other Identifiers 1

Other29981CA · Cordilleras Mhrc

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.

KIMBERLY ANTOINETTE BRIDGES
Day Training/Habilitation Specialist
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 249-0445
CORDILLERAS
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
CHRISTYNA TORRES RN
Registered Nurse (Psychiatric/Mental Health, Adult)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
REBECCA BUTLER
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
CYRUS SARRAFPOUR
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
MATTHEW THOMAS WYNNE
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890
STEPHANIE ENG
Peer Specialist
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 249-0445
MARION MINER-MCGEE
Counselor (Mental Health)
200 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 367-1890

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 Evelyn Jackson's NPI number?

The NPI number for Evelyn Jackson is 1609535756. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Evelyn Jackson located?

Evelyn Jackson practices at 200 Edmonds Rd, Redwood City, CA 94062. The listed phone number is (650) 367-1890.

What is Evelyn Jackson's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Evelyn Jackson was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.