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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since December 15, 2021
240 EDMONDS RD, REDWOOD CITY, CA 94062(650) 209-1100 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2026, Dec 15, 2021 (2 updates tracked since 2021).

About Evelyn Rosie Jackson NPPES

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

EVELYN ROSIE JACKSON (NPI 1609535756) is an individual licensed psychiatric technician in Redwood City, California, licensed in California (29981) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1609535756
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameEVELYN ROSIE JACKSON
Location Address240 EDMONDS RDRedwood City, CA 94062-3813
Mailing Address240 Edmonds Rd Bldg DRedwood City, CA 94062-3813 · (650) 209-1100
Phone(650) 209-1100
Sole ProprietorNo
Enumeration DateDecember 15, 2021
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1609535756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 29981
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.
240 EDMONDS RD, Redwood City, CA 94062
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Other Identifiers 1

Other29981CA · Cordilleras Mhrc

Other Providers at the Same Location NPPES 5

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

JAMAL PERRY
Case Manager/Care Coordinator
240 EDMONDS RD, BUILDING D
REDWOOD CITY, CA 94062
San Mateo County (310) 221-6336
LO-ER FA
Licensed Vocational Nurse
240 EDMONDS RD, BUILDING D
REDWOOD CITY, CA 94062
San Mateo County (650) 209-1100
SANI PAGE RC
Day Training/Habilitation Specialist
240 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (415) 766-7879
ALEJANDRA GODINEZ
Licensed Vocational Nurse
240 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 209-1100
MICHELE RAE OCHOA VNIVBWP
Licensed Vocational Nurse
240 EDMONDS RD
REDWOOD CITY, CA 94062
San Mateo County (650) 839-1076

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 240 Edmonds Rd, Redwood City, CA 94062. The listed phone number is (650) 209-1100.

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 September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.