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: August 09, 2026.

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

About Dr. Jared A Jackson Ph.d. NPPES

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

DR. JARED A JACKSON PH.D. (NPI 1902184732) is an individual psychologist in Fort Campbell, Kentucky, licensed in Alabama (1690) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1902184732
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JARED A JACKSONCredential: PH.D.
Location Address6102 TENNESSEE AVEFort Campbell, KY 42223-5940
Mailing AddressBldg 6102 TennesseeFort Campbell, KY 42223 · (909) 810-7332
Sole ProprietorYes
Enumeration DateJuly 27, 2011
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1902184732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AL · 1690
Definition
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.
6102 TENNESSEE AVE, Fort Campbell, KY 42223

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 Jared Jackson's NPI number?

The NPI number for Jared Jackson is 1902184732. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Jared Jackson located?

Jared Jackson practices at 6102 Tennessee Ave, Fort Campbell, KY 42223. The listed phone number is (909) 810-7332.

What is Jared Jackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jared Jackson was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.