NICOLE JACKSON
NPI 1033632922
Psychologist in Troy, MI
NPI Status: Active since July 21, 2017
Contact Information
2075 W BIG BEAVER RD STE 520
TROY, MI
ZIP 48084
Phone: (248) 646-6659
- Individual
- Female
- Psychologist
About NICOLE JACKSON
This page provides the complete NPI Profile along with additional information for Nicole Jackson, a provider established in Troy, Michigan with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1033632922 assigned on July 2017. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1033632922
- Provider Name
- NICOLE JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2075 W BIG BEAVER RD STE 520 TROY, MI 48084
- Location Phone
- (248) 646-6659
- Mailing Address
- 2075 W BIG BEAVER RD STE 520 TROY, MI 48084
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-21-2017
- Last Update Date
- 10-03-2018
- Code Navigator
A psychologist like Nicole Jackson studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Secondary Locations
- 400 Skokie Blvd Ste 245
Northbrook, IL 60062
(847) 686-0090 - 400 Skokie Blvd Ste 245
Northbrook, IL 60062
(847) 686-0090
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27-2165595 | MEDICAID (05) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 6 | 3 | 2 | 9 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 12 | 3 | 4 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 2 + 3 + 4 + 9 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1033632922 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326133414 | DR. PAULA M JORNE PHD LPC Individual | Counselor (Professional) | 2075 W BIG BEAVER RD STE 520 BIRMINGHAM MAPLE CLINIC TROY, MI 48084 (248) 646-6659 |
| 1275809949 | CAREN K SMITH MA, LLP Individual | Counselor (Mental Health) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1568717270 | MS. CHRISTINE E MUSKA LMFT Individual | Marriage & Family Therapist | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1053823583 | ELIZABETH SUZANNE SUTTON PHD, LLP Individual | Psychologist (Clinical) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1871157313 | MRS. LYNNE GUMENICK NEWMAN LMSW Individual | Counselor (Mental Health) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1043385297 | MS. ABRA ELISABETH KITEI LMSW Individual | Social Worker (Clinical) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 282-2321 |
| 1386753366 | NATHAN MARC STONE MA TLLP Individual | Psychologist | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1285645929 | JEFFREY A LONDON MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1235755968 | KHRYSTYNA MELNYK Individual | Counselor (Professional) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1912512450 | REEM EISSA MA Individual | Psychologist | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (774) 288-0809 |
| 1104110089 | DR. AHREUM L KIM M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1457733719 | CLARK CHEN D.O. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1578277828 | MS. MARNI ARIELLA JACOBSON LLMSW Individual | Social Worker | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1235813957 | SIERRA VOIGT LLMSW Individual | Social Worker | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1184409526 | MR. KAREEM ABEDELMENHEM DAHER TLLP Individual | Psychologist | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1679357032 | MATTHEW PAUL NICKEL Individual | Psychologist | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1194503565 | HASHIM MALIK TLLP Individual | Psychologist (Clinical) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1346884491 | ANISSA HOWARD LLMSW Individual | Counselor (Professional) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1720837230 | SALMA BRINJIKJI, PLLC Organization | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
| 1104655174 | MRS. DELTRESE DUNDRIENNE POWELL-EDWARDS MA Individual | Counselor (Mental Health) | 2075 W BIG BEAVER RD STE 520 TROY, MI 48084 (248) 646-6659 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033632922, enumerated in the NPI registry as an "individual" on July 21, 2017
The provider is located at 2075 W Big Beaver Rd Ste 520 Troy, Mi 48084 and the phone number is (248) 646-6659
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 21, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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