DR. CORRIE L JACKSON PH.D.
NPI 1740608728
Psychologist in Newtown, PA

NPI Status: Active since April 07, 2014

Contact Information

4 TERRY DR
SUITE 11
NEWTOWN, PA
ZIP 18940
Phone: (267) 454-1831

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  • Individual
  • Female
  • Psychologist
  • PECOS Enrolled
  • Opted-Out Medicare

About CORRIE JACKSON

This page provides the complete NPI Profile along with additional information for Corrie Jackson, a provider established in Newtown, Pennsylvania with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1740608728 assigned on April 2014. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1740608728
Provider Name
DR. CORRIE L JACKSON PH.D.
Other Name
MRS. CORRIE L SCHOFFSTALL
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4 TERRY DR SUITE 11 NEWTOWN, PA 18940
Location Phone
(267) 454-1831
Mailing Address
243 RUMFORD CT NEWTOWN, PA 18940
Mailing Phone
(412) 841-2833
Is Sole Proprietor?
No
Enumeration Date
04-07-2014
Last Update Date
04-07-2014
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A psychologist like Corrie Jackson studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Corrie Jackson opted out of Medicare effective on 01-01-2017 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Medicare Participation & PECOS Enrollment Status

Corrie Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2017

  • Opt-Out End Date: 01-01-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740608728, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 2 + 0 + 1 + 6 + 7 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1740608728.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Speech-Language Pathologist
4 TERRY DR, UNIT 1C
NEWTOWN, PA 18940
Psychiatry & Neurology (Psychiatry)
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NEWTOWN, PA 18940
Optometrist
4 TERRY DR, SUITE 8
NEWTOWN, PA 18940
Dentist (General Practice)
4 TERRY DR, ATRIUM PROF BLDG #8
NEWTOWN, PA 18940
Psychologist (Clinical)
4 TERRY DR, THE ATRIUM - SUITE 7
NEWTOWN, PA 18940
Dentist (General Practice)
4 TERRY DR, SUITE 8
NEWTOWN, PA 18940
Psychologist (Health)
4 TERRY DR, SUITE 2
NEWTOWN, PA 18940
Social Worker (Clinical)
4 TERRY DR, THE ATRIUM, SUITE 7
NEWTOWN, PA 18940
Psychologist (Clinical)
4 TERRY DR, THE ATRIUM, SUITE 7
NEWTOWN, PA 18940
Psychologist (Clinical)
4 TERRY DR, THE ATRIUM - SUITE 7
NEWTOWN, PA 18940
Counselor (Professional)
4 TERRY DR, SUITE 11
NEWTOWN, PA 18940
Counselor (Professional)
4 TERRY DR, THE ATRIUM
NEWTOWN, PA 18940
Counselor (Professional)
4 TERRY DR, THE ATRIUM, SUITE 11
NEWTOWN, PA 18940
Marriage & Family Therapist
4 TERRY DR, SUITE 11
NEWTOWN, PA 18940
Allergy & Immunology (Clinical & Laboratory Immunology)
4 TERRY DR, SUITE 10A
NEWTOWN, PA 18940
Speech-Language Pathologist
4 TERRY DR, SUITE 16
NEWTOWN, PA 18940
Counselor (Professional)
4 TERRY DR, SUITE 11
NEWTOWN, PA 18940
Allergy & Immunology (Clinical & Laboratory Immunology)
4 TERRY DR, SUITE 10A
NEWTOWN, PA 18940
Allergy & Immunology
4 TERRY DR, SUITE 10A
NEWTOWN, PA 18940
Allergy & Immunology
4 TERRY DR, SUITE 10A
NEWTOWN, PA 18940

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740608728, enumerated as an "individual" on April 07, 2014.

The provider is located at 4 TERRY DR SUITE 11 NEWTOWN, PA 18940 and the phone number is (267) 454-1831.

Psychologist with taxonomy code 103T00000X.