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NPI · 1104198522 · NPPES-sourced

Ilana Jackson PSYD

ActiveClinical Psychologist
NPI Number
1104198522
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(908) 839-7117
License MD · 05059
Last Updated
About 9 years ago (Oct 2016)
Enumerated 2012-01-31
Primary practice addressMD · 21209-1255
1 Sunny Meadow Ct, Apt 102Baltimore, MD 21209-1255
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About this NPIWhat this record shows.

NPI 1104198522 is registered to Ilana Jackson PSYD, a Clinical Psychologist practising at 1 Sunny Meadow Ct, Apt 102 in Baltimore, Maryland. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ilana Jackson PSYD has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2012-01-31
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ilana Jackson PSYD accepts. To confirm in-network status with your specific health plan, contact Ilana Jackson PSYD directly at (908) 839-7117.

Frequently asked

Yes. NPI 1104198522 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (908) 839-7117.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ilana Jackson PSYD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated2016-10
Enumerated2012-01-31
StatusActive
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