DR. JARED A JACKSON PH.D.
NPI 1902184732
Psychologist in Fort Campbell, KY

Active since July 27, 2011
6102 TENNESSEE AVE, FORT CAMPBELL, KY 42223(909) 810-7332 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2025, Aug 8, 2016 (2 updates tracked since 2016).

  • Individual
  • Male
  • Psychologist

About JARED JACKSON

This page provides the complete NPI Profile along with additional information for Jared Jackson, a provider established in Fort Campbell, Kentucky with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1902184732 assigned on July 2011. The practitioner's primary taxonomy code is 103T00000X with license number 1690 (AL). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1902184732 Verify this NPI
Provider Name
DR. JARED A JACKSON PH.D.
Gender
Male
Entity Type
Individual
Location Address
6102 TENNESSEE AVE FORT CAMPBELL, KY 42223
Location Phone
(909) 810-7332
Mailing Address
BLDG 6102 TENNESSEE FORT CAMPBELL, KY 42223
Mailing Phone
(909) 810-7332
Is Sole Proprietor?
Yes
Enumeration Date
07-27-2011
Last Update Date
05-08-2025
Code Navigator

A psychologist like Jared 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.

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
License No.
1690
License State
AL
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.

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Clinic/Center (Military/U.S. Coast Guard Outpatient)
6102 TENNESSEE AVE
FORT CAMPBELL, KY 42223
Dietitian, Registered
6102 TENNESSEE AVE
FORT CAMPBELL, KY 42223
Registered Nurse (Case Management)
6102 TENNESSEE AVE
FORT CAMPBELL, KY 42223
Registered Nurse (Psychiatric/Mental Health)
6102 TENNESSEE AVE
FORT CAMPBELL, KY 42223
Registered Nurse (Case Management)
6102 TENNESSEE AVE
FORT CAMPBELL, KY 42223
Physical Therapist
6102 TENNESSEE AVE
FORT CAMPBELL, KY 42223
Specialist/Technologist (Athletic Trainer)
6102 TENNESSEE AVE
FORT CAMPBELL, KY 42223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902184732, enumerated as an "individual" on July 27, 2011.

The provider is located at 6102 TENNESSEE AVE FORT CAMPBELL, KY 42223 and the phone number is (909) 810-7332.

Psychologist with taxonomy code 103T00000X.