C WESLEY JACKSON JR PHD INC – Clinical Psychologist, NPI 1720202500

C WESLEY JACKSON JR PHD INC is a healthcare provider. based in Cleveland heights, Ohio. specializing in Clinical Psychologist. The organization holds a License No. 000519 (MI). The NPI Number for C WESLEY JACKSON JR PHD INC is 1720202500

Main info

Organization
Name
C WESLEY JACKSON JR PHD INC
NPI
1720202500
Phone
(216) 321-9355
Address
2980 WASHINGTON BLVD
Authorized Official
C WESLEY JACKSON JR. PRESIDENT OWNER PHD
Enumeration Date
12 April 2007
Last Update Date
30 July 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for C WESLEY JACKSON JR PHD INC

  • 2980 WASHINGTON BLVD

    CLEVELAND HEIGHTS, OH 441182450

    Phone: (216) 321-9355

    Fax: (216) 932-3341

    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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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 44118)

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Frequently asked questions

What is the 10-digit NPI for C WESLEY JACKSON JR PHD INC?
C WESLEY JACKSON JR PHD INC — NPI 1720202500 — is the standard way to identify this listing.
Can I rely on C WESLEY JACKSON JR PHD INC being an active provider?
As of the registry snapshot, C WESLEY JACKSON JR PHD INC is marked active.
What is C WESLEY JACKSON JR PHD INC best known for clinically?
Directory data describes C WESLEY JACKSON JR PHD INC with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is C WESLEY JACKSON JR PHD INC based?
C WESLEY JACKSON JR PHD INC is tied to Cleveland Heights, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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