CATHERINE DO JACKSON (PHD) – Psychologist, NPI 1821317678
Psychologist
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
192 CLINICAL PSYCHOLOGIST in IA
Provider Addresses for CATHERINE DO JACKSON (PHD)
865 LINCOLN RD STE L10
BETTENDORF, IA 527224159
Phone: (563) 355-9200
Fax: (563) 355-3419
Type: Mailing
4455 E 56TH ST
DAVENPORT, IA 528072995
Phone: (563) 355-2577
Fax: (563) 355-4015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100702000499 | I | Clinical Psychologist | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52722)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | IN | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | AL | |
| Internal Medicine, Hospitalist | NC | |
| - | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | IA | |
| - | IA |
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