DR. FREDERICKA ARLENE JACKSON PH.D. CAC II
NPI 1922089531
Psychologist - Addiction (Substance Use Disorder) in Troy, MI

Q: What is Fredericka Jackson's NPI number?

The NPI number for Fredericka Jackson is 1922089531. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Fredericka Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Active since November 10, 2005

38815 DEQUINDRE RD, TROY, MI 48083(248) 250-7323 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Fredericka Arlene Jackson Ph.d. Cac Ii NPPES

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

DR. FREDERICKA ARLENE JACKSON PH.D. CAC II (NPI 1922089531) is an individual addiction (substance use disorder) provider in Troy, Michigan, licensed in Michigan (6301008884) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1922089531

Entity TypeIndividualFemale

Primary Taxonomy103TA0400X

Provider Legal NameDR. FREDERICKA ARLENE JACKSONCredential: PH.D. CAC II

Location Address38815 DEQUINDRE RDTroy, MI 48083-5769

Mailing Address43220 Fountain DrSterling Heights, MI 48313-2394 · (586) 532-9948 · Fax (586) 263-2762

Phone(248) 250-7323

Sole ProprietorYes

Enumeration DateNovember 10, 2005

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1922089531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in MI · 6301008884

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301008884 (MI)

Other Providers at the Same Location NPPES 6

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

SARALA RAVIKANT MD PC

Surgery

38815 DEQUINDRE RD, STE 100
TROY, MI 48083

Oakland County (248) 879-8080

DR. CHANGHEE KIM MD

Family Medicine

38815 DEQUINDRE RD, STE 103
TROY, MI 48083

Oakland County (248) 740-7771

DR. STEVEN M DEAN MD

Obstetrics & Gynecology

38815 DEQUINDRE RD, SUITE 101
TROY, MI 48083

Oakland County (248) 528-1010

ROBERT G SAIEG MD PC

Obstetrics & Gynecology

38815 DEQUINDRE RD, STE 101
TROY, MI 48083

Oakland County (248) 528-1010

TRUE GYNECOLOGY PLLC

Obstetrics & Gynecology

38815 DEQUINDRE RD, SUITE 101
TROY, MI 48083

Oakland County (248) 528-1010

CHANGHEE KIM MD PHD PLC

Family Medicine

38815 DEQUINDRE RD, SUITE 103
TROY, MI 48083

Oakland County (248) 740-7771

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 Fredericka Jackson's NPI number?

The NPI number for Fredericka Jackson is 1922089531. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Fredericka Jackson located?

Fredericka Jackson practices at 38815 Dequindre Rd, Troy, MI 48083. The listed phone number is (248) 250-7323.

What is Fredericka Jackson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Fredericka Jackson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.