1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Psychologist
  6. NPI Profile

MICHELLE BETH JACKSON PSY.D.
NPI 1619300886
Psychologist - Clinical in Los Angeles, CA

Active since August 12, 2013
12304 SANTA MONICA BLVD STE 379, LOS ANGELES, CA 90025(818) 646-6281 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Beth Jackson Psy.d. NPPES

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

MICHELLE BETH JACKSON PSY.D. (NPI 1619300886) is an individual clinical provider in Los Angeles, California, licensed in California (29440) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1619300886
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMICHELLE BETH JACKSONCredential: PSY.D.
Location Address12304 SANTA MONICA BLVD STE 379Los Angeles, CA 90025-1542
Mailing Address12304 Santa Monica Blvd Ste 379Los Angeles, CA 90025-1542 · (818) 646-6281
Phone(818) 646-6281
Sole ProprietorNo
Enumeration DateAugust 12, 2013
Last NPPES UpdateFebruary 15, 2019
✔ NPI 1619300886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 29440
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.
12304 SANTA MONICA BLVD STE 379, Los Angeles, CA 90025
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

DR. CANDACE SUZANNE SIEGMUND PSYD
Psychologist
12304 SANTA MONICA BLVD STE 379
LOS ANGELES, CA 90025
Los Angeles County (213) 223-8402
WESTSIDE PSYCH, A GROUP PSYCHOLOGY PRACTICE
Psychologist
12304 SANTA MONICA BLVD STE 379
LOS ANGELES, CA 90025
Los Angeles County (213) 373-4784
DR. ANNE STREETEN GARRETT PSY.D.
Psychologist (Clinical)
12304 SANTA MONICA BLVD STE 379
LOS ANGELES, CA 90025
Los Angeles County (213) 373-4784
MEGAN BURFORD AMFT
Counselor (Mental Health)
12304 SANTA MONICA BLVD STE 379
LOS ANGELES, CA 90025
Los Angeles County (213) 375-8128

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 Michelle Jackson's NPI number?

The NPI number for Michelle Jackson is 1619300886. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Where is Michelle Jackson located?

Michelle Jackson practices at 12304 Santa Monica Blvd Ste 379, Los Angeles, CA 90025. The listed phone number is (818) 646-6281.

What is Michelle Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Michelle Jackson was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.