DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II) – Addiction (Substance Use Disorder) Psychologist, NPI 1922089531

DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II) is a healthcare provider. based in Sterling heights, Michigan. specializing in Addiction (Substance Use Disorder) Psychologist. They hold the professional credentials PH.D. CAC II. They hold a License No. 6301008884 (MI). The NPI Number for DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II) is 1922089531

Main info

Female
Sole Proprietor
Name
DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II)
NPI
1922089531
Phone
(586) 532-9948
Address
43220 FOUNTAIN DR
Enumeration Date
10 November 2005
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II)

  • Fountain Drive, Lakeshore Condos, Sterling Heights, Macomb County, Michigan, 48313, United States

    STERLING HEIGHTS, MI 483132394

    Phone: (586) 532-9948

    Fax: (586) 263-2762

    Type: Mailing

  • 38815, Dequindre Road, Troy, Oakland County, Michigan, 48083, United States

    TROY, MI 480835769

    Phone: (248) 250-7323

    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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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 48313)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II)'s NPI?
Yes. DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II) is listed with NPI 1922089531 in the public NPI dataset.
Can I rely on DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II) being an active provider?
As of the registry snapshot, DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II) is marked active.
What taxonomy line describes DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II)?
For research purposes, treat DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II) as Addiction (Substance Use Disorder) Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II)?
DR. FREDERICKA ARLENE JACKSON (PH.D. CAC II)'s geographic hint is Sterling Heights, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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