DR. EDWARD L JACKSON PSYD PLLC
NPI 1669156998
Psychologist in Commerce Twp, MI
About Dr. Edward L Jackson Psyd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD L JACKSON PSYD PLLC (NPI 1669156998) is a healthcare organization registered as a psychologist in Commerce Twp, Michigan and active in the NPI registry since June 2023. The organization maintains a secondary practice location in West Bloomfield and lists Stephanie Budry, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Edward L Jackson Psyd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Edward L Jackson Psyd PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dr. Edward L Jackson Psyd PLLC's NPI number?
The NPI number for Dr. Edward L Jackson Psyd PLLC is 1669156998. It was assigned to this organization in the NPPES registry on June 15, 2023.
Where is Dr. Edward L Jackson Psyd PLLC located?
Dr. Edward L Jackson Psyd PLLC is located at 2900 Welch Rd, Commerce Twp, MI 48390. The listed phone number is (248) 767-7927.
What is Dr. Edward L Jackson Psyd PLLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Dr. Edward L Jackson Psyd PLLC enrolled in Medicare?
Yes. Dr. Edward L Jackson Psyd PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dr. Edward L Jackson Psyd PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr. Edward L Jackson Psyd PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dr. Edward L Jackson Psyd PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dr. Edward L Jackson Psyd PLLC 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 Dr. Edward L Jackson Psyd PLLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.