Provider Profile

Matthew Jackson

Unclaimed Profile

About Matthew Jackson

Matthew Jackson is a psychologist — clinical based in South Bend, IN. The provider's National Provider Identifier (NPI) is 1952794570.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2015

Specialty

Credentials & Licensing

IN license20042961A
NPI1952794570
NPI issued03/06/2015

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Matthew Jackson specialize in?

Matthew Jackson is a psychologist in South Bend, IN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Psychologist — Clinical”.

NPI registry

Where is Matthew Jackson located?

Matthew Jackson is listed at 714 N Michigan St, South Bend, IN 46601. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Matthew Jackson's phone number?

The number on file is (574) 647-7477. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Matthew Jackson's NPI number?

Matthew Jackson's National Provider Identifier is 1952794570. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Matthew Jackson train?

Matthew Jackson attended Other, graduating in 2015. This comes from the CMS National Downloadable File.

CMS public data

How long has Matthew Jackson been practicing?

Matthew Jackson has 11 years experience. Calculated from a graduation year of 2015, reported in the CMS National Downloadable File.

CMS public data

Has Matthew Jackson confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Matthew Jackson. If this is you, claiming it is free.

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