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 11 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

Reviews for DR. CORRIE L JACKSON PH.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740608728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27801201674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 2 + 0 + 1 + 6 + 7 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1740608728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MS. JUDITH RAFF LEHRHAUPT

Speech-Language Pathologist

4 TERRY DR
UNIT 1C
NEWTOWN, PA
ZIP 18940

(215) 579-3479

HARRY G MARKOW MD

Psychiatry & Neurology

(Psychiatry)

4 TERRY DR
THE ATRIUM-SUITE 2
NEWTOWN, PA
ZIP 18940

(215) 968-1777

DR. ROBERT L ROSENTHAL O.D.

Optometrist

4 TERRY DR
SUITE 8
NEWTOWN, PA
ZIP 18940

(215) 860-9000

DR. HOWARD RICHARD ROSENTHAL D.D.S.

Dentist

(General Practice)

4 TERRY DR
ATRIUM PROF BLDG #8
NEWTOWN, PA
ZIP 18940

(215) 860-9000

DR. LANCE LEE WEINMANN PH.D.

Psychologist

(Clinical)

4 TERRY DR
THE ATRIUM - SUITE 7
NEWTOWN, PA
ZIP 18940

(215) 860-1144

DR. DAVID CHARLES BORISH D.M.D

Dentist

(General Practice)

4 TERRY DR
SUITE 8
NEWTOWN, PA
ZIP 18940

(215) 860-9000

DR. CHRISTINE JOY MARKOW PH.D.

Psychologist

(Health)

4 TERRY DR
SUITE 2
NEWTOWN, PA
ZIP 18940

(215) 801-0534

NANCY E. FINE M.ED., M.S.S.

Social Worker

(Clinical)

4 TERRY DR
THE ATRIUM, SUITE 7
NEWTOWN, PA
ZIP 18940

(215) 860-1144

LISA C JACOBSON PSY.D.

Psychologist

(Clinical)

4 TERRY DR
THE ATRIUM, SUITE 7
NEWTOWN, PA
ZIP 18940

(215) 860-1144

DR. NICOLE MARIE BROWN PSY.D.

Psychologist

(Clinical)

4 TERRY DR
THE ATRIUM - SUITE 7
NEWTOWN, PA
ZIP 18940

(215) 860-1144

NEWTOWN COUNSELING AND EVALUATION SERVICES LLC

Counselor

(Professional)

4 TERRY DR
SUITE 11
NEWTOWN, PA
ZIP 18940

(267) 249-3318

CREATIVE COUNSELING SERVICES LLC

Counselor

(Professional)

4 TERRY DR
THE ATRIUM
NEWTOWN, PA
ZIP 18940

(267) 574-4248

DR. SERAN E SCHUG PH.D.

Counselor

(Professional)

4 TERRY DR
THE ATRIUM, SUITE 11
NEWTOWN, PA
ZIP 18940

(215) 264-7118

MRS. LAUREN BILLINGER MA, MFT

Marriage & Family Therapist

4 TERRY DR
SUITE 11
NEWTOWN, PA
ZIP 18940

(724) 816-4311

DR. TERRENCE J FORSTER M.D.

Allergy & Immunology

(Clinical & Laboratory Immunology)

4 TERRY DR
SUITE 10A
NEWTOWN, PA
ZIP 18940

(215) 968-6000

SPEAK NOW THERAPY LLC

Speech-Language Pathologist

4 TERRY DR
SUITE 16
NEWTOWN, PA
ZIP 18940

(215) 310-8033

JILLIAN ZIEGLER LPC

Counselor

(Professional)

4 TERRY DR
SUITE 11
NEWTOWN, PA
ZIP 18940

(267) 374-8479

RICHARD A SCHWARZ M.D.

Allergy & Immunology

(Clinical & Laboratory Immunology)

4 TERRY DR
SUITE 10A
NEWTOWN, PA
ZIP 18940

(215) 968-6000

ABBY FOSTER LCSW

Social Worker

(Clinical)

4 TERRY DR
STE 11
NEWTOWN, PA
ZIP 18940

(215) 550-1818

LANCASTER THERAPY CENTER, LLC

Clinic/Center

(Mental Health (Including Community Mental Health Center))

4 TERRY DR
NEWTOWN, PA
ZIP 18940

(717) 200-4060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740608728, enumerated in the NPI registry 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

The provider's speciality is Psychologist with taxonomy code 103T00000X

Yes, as of July 06, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

No, the provider signed an affidavit on January 01, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.

This NPI record was last updated on April 07, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.