Crystal A. Jackson, PH.D. , LLP, LLC
NPI 1073124772 · Psychologist · Detroit, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal A. Jackson, PH.D. , LLP, LLC is a Psychologist organization in Detroit, MI (NPI 1073124772).
Provider details
- NPI number
- 1073124772
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Crystal Jackson, Owner/Psychologist(586) 943-0563
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Crystal A. Jackson, PH.D. , LLP, LLC
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is Crystal A. Jackson, PH.D. , LLP, LLC's NPI number?
- Crystal A. Jackson, PH.D. , LLP, LLC's National Provider Identifier (NPI) is 1073124772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal A. Jackson, PH.D. , LLP, LLC?
- Crystal A. Jackson, PH.D. , LLP, LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Crystal A. Jackson, PH.D. , LLP, LLC located?
- Crystal A. Jackson, PH.D. , LLP, LLC's practice location on file with NPPES is 3011 W Grand Blvd, Detroit, MI 48202-3096.
- What is Crystal A. Jackson, PH.D. , LLP, LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal A. Jackson, PH.D. , LLP, LLC is (586) 943-0563.
- Does Crystal A. Jackson, PH.D. , LLP, LLC accept Medicare?
- Crystal A. Jackson, PH.D. , LLP, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crystal A. Jackson, PH.D. , LLP, LLC?
- The authorized official listed on Crystal A. Jackson, PH.D. , LLP, LLC's NPPES record is Crystal Jackson, Owner/Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal A. Jackson, PH.D. , LLP, LLC's NPI active?
- Yes — Crystal A. Jackson, PH.D. , LLP, LLC's NPI (1073124772) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.