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MATTHEW JACKSON LPA
NPI 1790503845
Psychologist - Clinical in Plano, TX

Active since September 27, 2024
1112 18TH ST # 860051, PLANO, TX 75074(972) 265-9302 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Sep 27, 2024 (2 updates tracked since 2024).

About Matthew Jackson Lpa NPPES

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

MATTHEW JACKSON LPA (NPI 1790503845) is an individual clinical provider in Plano, Texas, licensed in Texas (39612) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1790503845
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMATTHEW JACKSONCredential: LPA
Location Address1112 18TH ST # 860051Plano, TX 75074-5904
Mailing Address1112 18th St # 860051Plano, TX 75074-5904 · (972) 265-9302
Phone(972) 265-9302
Sole ProprietorYes
Enumeration DateSeptember 27, 2024
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 26, 2025
✔ NPI 1790503845 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 TX · 39612
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.
1112 18TH ST # 860051, Plano, TX 75074
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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 Matthew Jackson's NPI number?

The NPI number for Matthew Jackson is 1790503845. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Matthew Jackson located?

Matthew Jackson practices at 1112 18th St # 860051, Plano, TX 75074. The listed phone number is (972) 265-9302.

What is Matthew 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 Matthew Jackson was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.