FREDERICKA ARLENE JACKSON Ph.D. CAC II
NPI 1922089531
Psychologist, Addiction (substance Use Disorder) in Sterling Heights,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 10, 2005

Contact Information

43220 Fountain Dr
Sterling Heights,
Post Code: 48313
Phone: (586) 532-9948
Fax: (586) 263-2762

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Fredericka Arlene Jackson Ph.d. Cac Ii in Sterling Heights - Psychologist, Addiction (Substance Use Disorder)

Fredericka Arlene Jackson Ph.d. Cac Ii is a Psychologist, Addiction (Substance Use Disorder) in Sterling Heights, . Fredericka Arlene Jackson Ph.d. Cac Ii practices all healthcare services and medical treatments related to Psychologist, Addiction (Substance Use Disorder). The NPI Number for Fredericka Arlene Jackson Ph.d. Cac Ii is 1922089531. The last update date is 2007-07-08.

Fredericka Arlene Jackson Ph.d. Cac Ii's current location address is 43220 Fountain Dr, Sterling Heights, . You can contact this provider via phone number (586) 532-9948 and fax number (586) 263-2762. The mailing address for Fredericka Arlene Jackson Ph.d. Cac Ii is 43220 Fountain Dr, Sterling Heights, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1922089531
Provider Name
FREDERICKA ARLENE JACKSON Ph.D. CAC II
Gender
Female
Entity Type
Individual
Location Address
43220 Fountain Dr, Sterling Heights,
Location Phone
(586) 532-9948
Location Fax
(586) 263-2762
Mailing Address
38815 Dequindre Rd, Troy, Michigan(MI)
Mailing Phone
248-250-7323
Mailing Fax
-
Enumeration Date
2005-11-10
Last Update Date
2007-07-08
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.

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 103TA0400X Addiction (Substance Use Disorder) Psychologist

Psychologist, Addiction (Substance Use Disorder)

6301008884 (Michigan)
2 103TC0700X Clinical Psychologist

Psychologist, Clinical

6301008884 (Michigan)

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

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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.
1922089531
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942081856
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2942081856
2 + 9 + 4 + 2 + 0 + 8 + 1 + 8 + 5 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1 1

The NPI number 1922089531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

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