DR. ANNE ELIZABETH JACKSON PH.D.
NPI 1619127537
Psychologist - Clinical in Santa Rosa, CA

Q: What is Anne Jackson's NPI number?

The NPI number for Anne Jackson is 1619127537. It was assigned to this individual provider in the NPPES registry on September 27, 2008.

Q: What is Anne Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Anne Jackson was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 27, 2008

1101 COLLEGE AVE, STE 230, SANTA ROSA, CA 95404(650) 444-3260 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Anne Elizabeth Jackson Ph.d. NPPES

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

DR. ANNE ELIZABETH JACKSON PH.D. (NPI 1619127537) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY17785) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1619127537

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANNE ELIZABETH JACKSONCredential: PH.D.

Location Address1101 COLLEGE AVE, STE 230Santa Rosa, CA 95404-3956

Mailing Address712 Bancroft Rd # 771Walnut Creek, CA 94598-1531 · (650) 444-3260

Phone(650) 444-3260

Sole ProprietorYes

Enumeration DateSeptember 27, 2008

Last NPPES UpdateFebruary 6, 2017

✔ NPI 1619127537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY17785

Definition

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.

Also ListedPsychologistTaxonomy 103T00000X · License PSY17785 (CA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY17785 (CA)

1101 COLLEGE AVE, Santa Rosa, CA 95404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

MRS. CAROLINE LOUISE MORRIS L.M.F.T.

Marriage & Family Therapist

1101 COLLEGE AVE, SUITE 220
SANTA ROSA, CA 95404

Sonoma County (707) 575-0750

DR. TRACY LYNN JONES PHD

Psychologist

1101 COLLEGE AVE, SUITE 230
SANTA ROSA, CA 95404

Sonoma County (707) 799-3340

DR. PAMELA ANN LOMAN PH.D.

Psychologist (Health)

1101 COLLEGE AVE, SUITE 230
SANTA ROSA, CA 95404

Sonoma County (707) 490-2241

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 Anne Jackson's NPI number?

The NPI number for Anne Jackson is 1619127537. It was assigned to this individual provider in the NPPES registry on September 27, 2008.

Where is Anne Jackson located?

Anne Jackson practices at 1101 College Ave Ste 230, Santa Rosa, CA 95404. The listed phone number is (650) 444-3260.

What is Anne Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Anne Jackson accept?

Health plans from Providence Health Plan list Anne Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anne Jackson was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.