THEODORE TOMI JACKSON
NPI 1609563600
Student in an Organized Health Care Education/Training Program in Washington, DC

Q: What is Theodore Jackson's NPI number?

The NPI number for Theodore Jackson is 1609563600. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Q: What is Theodore Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Jackson was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 19, 2023

2041 GEORGIA AVE NW SUITE #5-B01, DEPT OF PSYCHIATRY, WASHINGTON, DC 20060(202) 865-6613 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Theodore Tomi Jackson NPPES

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

THEODORE TOMI JACKSON (NPI 1609563600) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1609563600

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTHEODORE TOMI JACKSON

Location Address2041 GEORGIA AVE NW SUITE #5-B01, DEPT OF PSYCHIATRYWashington, DC 20060-0001

Mailing Address2041 Georgia Ave Nw Suite #5-b01, Dept Of PsychiatryWashington, DC 20060-0001 · (202) 865-6613

Phone(202) 865-6613

Sole ProprietorNo

Enumeration DateApril 19, 2023

NPPES CertifiedApril 19, 2023

✔ NPI 1609563600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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 Theodore Jackson's NPI number?

The NPI number for Theodore Jackson is 1609563600. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Theodore Jackson located?

Theodore Jackson practices at 2041 Georgia Ave NW Suite #5-B01, Dept Of Psychiatry, Washington, DC 20060. The listed phone number is (202) 865-6613.

What is Theodore Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Theodore Jackson was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.