JANISSA D JACKSON PHD
NPI 1871762476
Psychologist - Clinical Child & Adolescent in Fayetteville, AR
NPI Status: Active since February 27, 2008
Contact Information
1 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 443-5575
Fax: (479) 443-9554
- Organization
- Psychologist
- Clinical Child & Adolescent
About JANISSA D JACKSON PHD
This page provides the complete NPI Profile along with additional information for Janissa D Jackson Phd, a provider established in Fayetteville, Arkansas operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1871762476 assigned on February 2008. The practitioner's primary taxonomy code is 103TC2200X with license number 07-01P (AR). The provider is registered as an organization and their NPI record was last updated 18 years ago. Janissa D Jackson Phd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Janissa D Jackson Phd. The authorized official of this NPI record is Lavonna Latta (Business Manager)
- NPI
- 1871762476
- Provider Legal Name
- JANISSA D JACKSON PHD PLLC
- Other Organization Name
- JANISSA D JACKSON PHD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1 W SUNBRIDGE DR FAYETTEVILLE, AR 72703
- Location Phone
- (479) 443-5575
- Location Fax
- (479) 443-9554
- Mailing Address
- 1 W SUNBRIDGE DR FAYETTEVILLE, AR 72703
- Mailing Phone
- (479) 443-5575
- Mailing Fax
- (479) 443-9554
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2008
- Last Update Date
- 02-27-2008
- Code Navigator
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 Clinical Child & Adolescent
- Taxonomy Code
- 103TC2200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 07-01P
- License State
- AR
- Taxonomy Description
- A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 07-01P (AR) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5A252 | OTHER (01) | AR | BLUECROSS BLUESHIELD |
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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 1871762476, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871762476, enumerated as an "organization" on February 27, 2008.
The provider is located at 1 W SUNBRIDGE DR FAYETTEVILLE, AR 72703 and the phone number is (479) 443-5575.
Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
