PETER C. JACKSON (PSYD) – Clinical Psychologist, NPI 1942365994

PETER C. JACKSON (PSYD) is a healthcare provider. based in Madison, Wisconsin. specializing in Clinical Psychologist. They hold the professional credentials PSYD. They hold a License No. 1805-057 (WI). The NPI Number for PETER C. JACKSON (PSYD) is 1942365994

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
PETER C. JACKSON (PSYD)
NPI
1942365994
Phone
(608) 276-9191
Address
3330 UNIVERSITY AVE
Enumeration Date
27 December 2006
Last Update Date
22 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
3173417151
Professional Enrollment ID
I20100917000030
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PETER C. JACKSON (PSYD)

  • University Avenue, Regent, Madison, Dane County, Wisconsin, 53792, United States

    STE 312

    MADISON, WI 537052167

    Phone: (608) 276-9191

    Fax: (608) 276-9144

    Type: Mailing

  • 700 RAY O VAC DR

    SUITE 220

    MADISON, WI 537112479

    Phone: (608) 276-9191

    Fax: (608) 276-9144

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 53705)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PETER C. JACKSON (PSYD)?
PETER C. JACKSON (PSYD) — NPI 1942365994 — is the standard way to identify this listing.
Does CMS list PETER C. JACKSON (PSYD) as active?
Yes — PETER C. JACKSON (PSYD) is active in the NPI listing used on this page.
What is PETER C. JACKSON (PSYD) best known for clinically?
Directory data describes PETER C. JACKSON (PSYD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for PETER C. JACKSON (PSYD)?
PETER C. JACKSON (PSYD)'s geographic hint is Madison, Wisconsin in our summary view.
Is the information about PETER C. JACKSON (PSYD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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