DR. KENNETH JACKSON (PH.D.) – Clinical Psychologist, NPI 1588762108

DR. KENNETH JACKSON (PH.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 071007090 (IL). The NPI Number for DR. KENNETH JACKSON (PH.D.) is 1588762108

Main info

Male
Sole Proprietor
Name
DR. KENNETH JACKSON (PH.D.)
NPI
1588762108
Phone
(773) 454-7202
Address
5701 N ASHLAND AVE
Enumeration Date
20 September 2006
Last Update Date
4 November 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. KENNETH JACKSON (PH.D.)

  • 5701, North Ashland Avenue, Andersonville, Lakewood-Balmoral, Edgewater, Chicago, Lake View Township, Cook County, Illinois, 60660, United States

    SUITE 205-A

    CHICAGO, IL 606604027

    Phone: (773) 454-7202

    Fax: (773) 465-5041

    Mailing address matches the actual address.

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 60660)

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Frequently asked questions

What is DR. KENNETH JACKSON (PH.D.)'s NPI number?
DR. KENNETH JACKSON (PH.D.)'s NPI is 1588762108 — the number used across U.S. healthcare to identify this provider.
Is DR. KENNETH JACKSON (PH.D.) still an active registrant?
DR. KENNETH JACKSON (PH.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. KENNETH JACKSON (PH.D.)?
DR. KENNETH JACKSON (PH.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH JACKSON (PH.D.) associated with Chicago?
Public fields place DR. KENNETH JACKSON (PH.D.) around Chicago, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. KENNETH JACKSON (PH.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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