CHRISTY S. JACKSON, PH.D., LLC – Clinical Psychologist, NPI 1033779533

CHRISTY S. JACKSON, PH.D., LLC is a healthcare provider. based in Newington, Connecticut. specializing in Clinical Psychologist. The NPI Number for CHRISTY S. JACKSON, PH.D., LLC is 1033779533

Main info

Organization
Name
CHRISTY S. JACKSON, PH.D., LLC
NPI
1033779533
Phone
(860) 301-0053
Address
502 CYPRESS RD
Authorized Official
DR. CHRISTY S JACKSON OWNER PH.D.
Enumeration Date
17 June 2019
Last Update Date
17 June 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:6State licenses:0Digital endpointsOther names

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Provider Addresses for CHRISTY S. JACKSON, PH.D., LLC

  • 502, Cypress Road, Newington, Hartford County, Connecticut, 06111, United States

    NEWINGTON, CT 061115618

    Phone: (860) 301-0053

    Type: Mailing

  • 352, Main Street, Beaverton, Brock, Durham Region, Golden Horseshoe, Ontario, L0K 1A0, Canada

    DURHAM, CT 064221645

    Phone: (860) 266-6467

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

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06111)

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Frequently asked questions

Is CHRISTY S. JACKSON, PH.D., LLC listed with a National Provider Identifier?
Yes — CHRISTY S. JACKSON, PH.D., LLC has NPI 1033779533 on file in the registry.
Is CHRISTY S. JACKSON, PH.D., LLC still an active registrant?
CHRISTY S. JACKSON, PH.D., LLC carries an active NPI according to the public dataset.
What clinical focus is listed for CHRISTY S. JACKSON, PH.D., LLC?
At a glance, CHRISTY S. JACKSON, PH.D., LLC is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Connecticut is CHRISTY S. JACKSON, PH.D., LLC registered?
Use Newington, Connecticut as the headline location for CHRISTY S. JACKSON, PH.D., LLC here.
When was this NPI issued?
Enumeration for CHRISTY S. JACKSON, PH.D., LLC is noted as June 17, 2019 where the registry provides it.

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