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DR. TAMMY LYNN JACKSON PH.D.
NPI 1619958758
Psychologist - Adult Development & Aging in College Station, TX

Active since November 07, 2005PECOS Enrolled
1014 SUN MEADOW CT, COLLEGE STATION, TX 77845(979) 217-1311(855) 604-0969 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Oct 30, 2019 (2 updates tracked since 2019).

About Dr. Tammy Lynn Jackson Ph.d. NPPES

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

DR. TAMMY LYNN JACKSON PH.D. (NPI 1619958758) is an individual adult development & aging provider in College Station, Texas, licensed in Texas (31418) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619958758
Entity TypeIndividualFemale
Primary Taxonomy103TA0700X
Provider Legal NameDR. TAMMY LYNN JACKSONCredential: PH.D.
Location Address1014 SUN MEADOW CTCollege Station, TX 77845-7291
Mailing Address1014 Sun Meadow CtCollege Station, TX 77845-7291 · (979) 217-1311 · Fax (855) 604-0969
Phone(979) 217-1311
Fax(855) 604-0969
Sole ProprietorYes
Enumeration DateNovember 7, 2005
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1619958758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
License✔ Licensed in TX · 31418
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 31418 (TX)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
1014 SUN MEADOW CT, College Station, TX 77845
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Other Identifiers 1

Medicaid158249604TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tammy Lynn Jackson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Tammy Jackson's NPI number?

The NPI number for Tammy Jackson is 1619958758. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Tammy Jackson located?

Tammy Jackson practices at 1014 Sun Meadow Ct, College Station, TX 77845. The listed phone number is (979) 217-1311.

What is Tammy Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

Is Tammy Jackson enrolled in Medicare?

Yes. Tammy Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Tammy Jackson accept?

Health plans from Blue Cross and Blue Shield of Texas list Tammy 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 Tammy Jackson was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.