TAMMY LYNN JACKSON Ph.D.
NPI 1619958758
Psychologist, Cognitive & Behavioral in College Station,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 7, 2005

Contact Information

1014 Sun Meadow Ct
College Station,
Post Code: 77845
Phone: (979) 217-1311
Fax: (855) 604-0969

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Tammy Lynn Jackson Ph.d. in College Station - Psychologist, Cognitive & Behavioral

Tammy Lynn Jackson Ph.d. is a Psychologist, Cognitive & Behavioral in College Station, . Tammy Lynn Jackson Ph.d. practices all healthcare services and medical treatments related to Psychologist, Cognitive & Behavioral. The NPI Number for Tammy Lynn Jackson Ph.d. is 1619958758. The last update date is 2023-08-25.

Tammy Lynn Jackson Ph.d.'s current location address is 1014 Sun Meadow Ct, College Station, . You can contact this provider via phone number (979) 217-1311 and fax number (855) 604-0969. The mailing address for Tammy Lynn Jackson Ph.d. is 1014 Sun Meadow Ct, College Station, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1619958758
Provider Name
TAMMY LYNN JACKSON Ph.D.
Gender
Female
Entity Type
Individual
Location Address
1014 Sun Meadow Ct, College Station,
Location Phone
(979) 217-1311
Location Fax
(855) 604-0969
Mailing Address
1014 Sun Meadow Ct, College Station, Texas(TX)
Mailing Phone
979-217-1311
Mailing Fax
855-604-0969
Enumeration Date
2005-11-07
Last Update Date
2023-08-25
Code Navigator

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, Adult Development & Aging

Taxonomy Code
103TA0700X
Type
-
License No.
31418
License State
Texas (TX)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 103TB0200X Cognitive & Behavioral Psychologist

Psychologist, Cognitive & Behavioral

31418 (Texas)
2 103TC1900X Counseling Psychologist

Psychologist, Counseling

()

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
158249604 MEDICAID (05) Texas (TX)

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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.
1619958758
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262918516710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 262918516710
2 + 6 + 2 + 9 + 1 + 8 + 5 + 1 + 6 + 7 + 1 + 0 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 8 8

The NPI number 1619958758 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215930367 LAURENT GRESSOT
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281-440-5006
1396748349 GEORGE M GRUNERT
Individual
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713-512-7900
1598768541 BERTHA E. ARENAS
Individual
Nurse Practitioner, Family 1702 N ALAMO ST
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210-224-1823
1578566501 BAO QUOC H LA
Individual
Obstetrics & Gynecology 915 GESSNER RD
HOUSTON, Texas (TX)
281-589-0156
1205839230 MERCY EMS, LLC
MERCY EMS
Organization
Ambulance, Land Transport 15401 ADDISON RD
ADDISON, Texas (TX)
972-788-9401